| NPI | 1629249842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER L. BERGERON President 207-784-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2008-03-15 |