| NPI | 1225004955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JAMES SHAKER President 603-668-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2017-07-21 |