| NPI | 1265995674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTY HEWITT COO 207-385-2036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2022-07-28 |