Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FC0801X | Contact Lens Fitter | 1594 | MA |
Y | 156FX1800X | Optician | 1594 | MA |
NPI | 1700011657 |
---|---|
Provider Name | Mr. Yale I Turner |
First Address | Cambridge, MA 02138-4908 |
Second Address | Cambridge, MA 02138-4908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2009 |
Last Update Date | 21/05/2009 |