| NPI | 1881866085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STANTON MACINNES Optician Certified 207-942-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: ME 10328) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |