| NPI | 1154322287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LEROY LAURITSEN President/Owner 207-781-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ME 782-TA) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2010-02-23 |