| NPI | 1093992760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M. PLOURDE Owner 207-868-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: ME 0656) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |