NPI | 1104252238 |
---|---|
Doing Business As | MIDCOAST OPTICAL SERVICES |
Entity Type | Organization |
Authorized Contact | GREGORY G GENSHEIMER President 207-443-6626 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME 10700) |
Enumeration Date | 2013-09-20 |
Last Update Date | 2013-09-20 |