| NPI | 1104065994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN H DRUM Owner/Optometrist 603-788-2031 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 552) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VT 0300000272) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2012-04-25 |