| 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 |