Kathleen Ann Basile, OD Valid NPI
Individual provider · Optometrist · Wellesley, MA
- NPI
- 1861425035
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 3573 (MA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-07-09
- Last updated
- 2012-08-27
Practice location
888 Worcester St, Suite 130
Wellesley, MA 02482-3744
(617) 964-6681