NPI | 1366757593 |
---|---|
Entity Type | Organization |
Authorized Contact | CARINA L ORCUTT President 207-454-2277 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: ME 900T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: ME 567T) |
152W00000X Optometrist (Licence: ME 667T) | |
Enumeration Date | 2010-08-12 |
Last Update Date | 2010-08-12 |