| NPI | 1689704025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN E. HALLOWELL President 207-454-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ME 567TA) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ME 667TA) |
| 152W00000X Optometrist (Licence: ME OPT900) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-03-31 |