| NPI | 1780879510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE FOURNIER Practice Administrator 207-786-1917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME 015596) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2023-08-09 |