| NPI | 1548273147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN TRABOLD Dir. Of Finance & Admin 207-774-6273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2013-06-13 |