Provider Demographics
NPI:1265585707
Name:B&D UNLIMITED LLC
Entity type:Organization
Organization Name:B&D UNLIMITED LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DRABKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-843-5200
Mailing Address - Street 1:175 PEARL STREET
Mailing Address - Street 2:VISION EXPRESS
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184
Mailing Address - Country:US
Mailing Address - Phone:781-843-5200
Mailing Address - Fax:781-843-5520
Practice Address - Street 1:175 PEARL STREET
Practice Address - Street 2:VISION EXPRESS
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184
Practice Address - Country:US
Practice Address - Phone:781-843-5200
Practice Address - Fax:781-843-5520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAMV23694OtherSPECTERA