NPI | 1104153535 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE L MCEWEN President/CEO 603-536-1120 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2009-11-05 |
Last Update Date | 2020-12-03 |