| 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 |