| NPI | 1043394885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSILIN MAELIA QUINT President/Optometrist 207-622-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT961) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2017-02-06 |