| NPI | 1649464983 |
|---|---|
| Doing Business As | MAINE MALL EYE CARE |
| Entity Type | Organization |
| Authorized Contact | ROGER R GAGNON CEO 207-775-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-12-05 |