| NPI | 1659462174 |
|---|---|
| Doing Business As | TERE K PORTER OD |
| Entity Type | Organization |
| Authorized Contact | TERE KENT PORTER Optometrist President 207-743-6271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT502) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-02-04 |