Provider Demographics
NPI:1144115064
Name:WESTBOROUGH SPECTACLE SHOPPE
Entity type:Organization
Organization Name:WESTBOROUGH SPECTACLE SHOPPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:VILELA
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:508-366-8534
Mailing Address - Street 1:4 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1902
Mailing Address - Country:US
Mailing Address - Phone:508-366-8534
Mailing Address - Fax:508-898-2567
Practice Address - Street 1:4 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1902
Practice Address - Country:US
Practice Address - Phone:508-366-8534
Practice Address - Fax:508-898-2567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier