| NPI | 1770760621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL N. BROOKS Owner 207-945-5891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: ME OPT640) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ME OPT640) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-03-21 |