person
Eric D Canedy, OPTICIAN
Optician in Newton, Massachusetts
NPI 1780600536

Eric D Canedy is a Optician based in Newton, MA and is specialized in Optician. Eric D Canedy practices in Newton, MA and has the professional credentials of OPTICIAN. The NPI Number for Eric D Canedy is 1780600536 and holds a License No. 5612 (Massachusetts).

The current practice location address for Eric D Canedy is 25 Needham St, Newton, MA and can be reached out via phone at 617-964-6681 and via fax at 617-630-0141.

Location: 25 Needham St, Newton, MA, 02461-1615
person
Provider Profile Details
NPI Number
1780600536
Provider Name
Eric D Canedy
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
25 Needham St, Newton, MA, 02461-1615
Phone Number
617-964-6681
Fax Number
617-630-0141
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0317454 05 MA
30750750 05 NH
institution
Provider Business Practice Location Address Details
Address
25 Needham St
City
State
Zip
02461-1615
Phone Number
617-964-6681
Fax Number
617-630-0141
person
Provider Business Mailing Address Details
Address
25 Needham St
City
State
Zip
02461-1615
Phone Number
617-964-6681
Fax Number
617-630-0141
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
5612 (Massachusetts)
Definition
Definition to come...
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