NPI | 1811066079 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSILIN M QUINT President/Optometrist 207-947-7554 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT961) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2017-02-09 |