NPI | 1467601872 |
---|---|
Doing Business As | EYE CENTER NORTHEAST |
Entity Type | Organization |
Authorized Contact | DAVID T DOUGLASS Owner 207-990-4388 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT797) |
Enumeration Date | 2008-09-10 |
Last Update Date | 2010-05-24 |