| NPI | 1255526323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS MCCORMICK Owner 207-563-3049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2020-06-22 |