| NPI | 1982955829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R MOULTON Owner 207-945-3619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: ME 012516) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |