NPI | 1467533588 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN L DANIELS President 207-725-2161 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: opt661) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: ME 011131) |
152W00000X Optometrist (Licence: ME opt618) | |
152W00000X Optometrist (Licence: opt787) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2011-04-26 |