| NPI | 1336309046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK NICKERSON Master Optician 207-725-7741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |