| NPI | 1447754312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIELLE L COSTELLO Owner/Optometrist 207-873-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT942) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |