| NPI | 1467637637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STANTON MAC INNES Optician Certified 207-942-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: ME 10328) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-03-07 |