| NPI | 1619046240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH PEACARD WOLF President Opthalmologist 207-783-9653 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2011-09-14 |