NPI | 1023293594 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY E FARMER Optometrist 207-743-7751 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2008-01-03 |
Last Update Date | 2008-06-17 |