Provider Demographics
NPI:1619665437
Name:ATCHUE OPTICIANS, LLC
Entity Type:Organization
Organization Name:ATCHUE OPTICIANS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:J
Authorized Official - Last Name:ATCHUE
Authorized Official - Suffix:
Authorized Official - Credentials:RDO
Authorized Official - Phone:508-755-5253
Mailing Address - Street 1:1464 GRAFTON ROAD
Mailing Address - Street 2:
Mailing Address - City:MILBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01527
Mailing Address - Country:US
Mailing Address - Phone:508-755-5253
Mailing Address - Fax:508-754-4659
Practice Address - Street 1:1464 GRAFTON ROAD
Practice Address - Street 2:
Practice Address - City:MILBURY
Practice Address - State:MA
Practice Address - Zip Code:01527
Practice Address - Country:US
Practice Address - Phone:508-755-5253
Practice Address - Fax:508-754-4659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Multi-Specialty
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens FitterGroup - Multi-Specialty