Whalio Doctors

NPI 1407347800

Eddie Hornedo, LDO

Practitioner Optician Revere, MA

Practice location

Address
339 Squire Rd, Revere, MA 02151-4309
Phone
(781) 289-5900
Mailing address
38 Murray St, Peabody, MA 01960-2327

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence 6016 (MA)

Registry record

NPI
1407347800
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 May 2018
Record last updated
11 Jan 2023

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.