| NPI | 1104003938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | N SCOTT FERGUSON Owner 207-935-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: ME OPT699TA) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |