| NPI | 1821125501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE SHELDON BAYLUS Owner 603-622-9491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 0595) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NH 310) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |