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General NPI Number Information
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NPI Number | 1225116189
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Entity Type | Organization
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Legal Business Name | POSTUM EYE CARE INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/14/2013
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Provider Practice Location Address
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Address Line | 13 MECHANIC ST
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City | BELLINGHAM
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State | MA
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Zip | 02019-1679
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Country | US
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Telephone | 508-657-1242
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1161
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City | BELLINGHAM
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State | MA
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Zip | 02019-1679
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Country | US
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Telephone | 617-642-4749
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ZAINUB POSTUM
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Credential |
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Telephone | 617-642-4749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4164
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License Number State | MA
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