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 |