| NPI | 1699728154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALEX PAKULSKI General Partner 207-474-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ME 645TA) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ME 671TA) |
| 152W00000X Optometrist (Licence: ME 823TA) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-07-23 |