| NPI | 1033517784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM NICHOLSON AINSWORTH Owner 386-328-8856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME0047518) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |