Provider Demographics
NPI:1659896454
Name:LET'S GO TECHNOLOGY, INC
Entity Type:Organization
Organization Name:LET'S GO TECHNOLOGY, INC
Other - Org Name:NEW ENGLAND LOW VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:V
Authorized Official - Last Name:KRUG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-853-8200
Mailing Address - Street 1:799 W BOYLSTON ST STE 140
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-3071
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1077 BRIDGEPORT AVE STE 103
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-4622
Practice Address - Country:US
Practice Address - Phone:508-853-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Single Specialty