| NPI | 1639156011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BREAREY Ophthalmic Manager 207-324-7946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME 015113) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: ME 011998) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-08-22 |