Provider Demographics
NPI:1073884326
Name:ANYWEAR OPTICAL
Entity Type:Organization
Organization Name:ANYWEAR OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:TRAINOR
Authorized Official - Suffix:
Authorized Official - Credentials:RDO
Authorized Official - Phone:508-634-3596
Mailing Address - Street 1:69 UXBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MENDON
Mailing Address - State:MA
Mailing Address - Zip Code:01756-1017
Mailing Address - Country:US
Mailing Address - Phone:508-634-3596
Mailing Address - Fax:508-634-3596
Practice Address - Street 1:69 UXBRIDGE RD
Practice Address - Street 2:
Practice Address - City:MENDON
Practice Address - State:MA
Practice Address - Zip Code:01756-1017
Practice Address - Country:US
Practice Address - Phone:508-634-3596
Practice Address - Fax:508-634-3596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4966156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty