| NPI | 1891905493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG K SMALL Owner 207-496-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT736) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: ME OPT736) |
| 152WP0200X Optometrist, Pediatrics (Licence: ME OPT736) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-01-12 |