NPI | 1073554853 |
---|---|
Former Legal Business Name | PENOBSCOT EYE CARE INC |
Entity Type | Organization |
Authorized Contact | KIMBERLY D. ALLEN Sec / Tres 207-942-2015 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2006-06-10 |
Last Update Date | 2020-06-15 |