| NPI | 1265754519 |
|---|---|
| Doing Business As | SEBAGO PRIMARY EYE CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | THOMAS VINCENT GORDON Owner 207-655-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ME 760) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |