NPI 1376762633

John R Inslee, OPTICIAN

Practitioner Optician Somerville, MA

Practice location

Address: 40 Holland St, Somerville, MA 02144-2705
Phone: (617) 629-6000
Fax: (617) 629-6070
Mailing address: 147 Milk St Provider Enrollment Department - 9th Floor, Boston, MA 02109-4806

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1346 (MA)

Other Technician/Technologist providers in Massachusetts →

Registry record

NPI: 1376762633
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.