| NPI | 1124299219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL RUSH MOULTON Owner 207-945-3619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: ME 012516) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |