OrganizationActive
Concord -Imtrex Inc
NPI 1003039082 · Optician · Natick, MA
Provider details
- NPI number
- 1003039082
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Authorized official
- Svetlana Bogomolov, President
Practice location
1245 Worcester St
Natick, MA 01760-1515
Phone: (508) 651-9811
Fax: (508) 651-9814
Mailing address
1245 Worcester St
Natick, MA 01760-1515
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.