Whalio Doctors

NPI 1376875914

Diane Matuck

Practitioner Optician Worcester, MA

Practice location

Address
19 Tacoma St, Worcester, MA 01605-3516
Phone
(508) 852-1805

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence 5830 (MA)

Registry record

NPI
1376875914
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Feb 2010
Record last updated
8 Feb 2010

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.