NPI | 1770761041 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM P. BEEAKER O PT Ometrist 207-897-2662 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: ME OPT550) |
Enumeration Date | 2008-02-08 |
Last Update Date | 2008-02-08 |