| NPI | 1710231220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BOLDUC Optometrist 207-284-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2015-02-10 |