Organization Name: | VILLAGE OPTICAL,INC |
NPI Number: | 1386794196 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANE LEE HALL (OPTICAN) |
Mailing Address: | 464 Main St Centre Damariscotta |
State: | ME US |
Postal Code: | 04543 |
Phone Number: | 2075638879 |
Fax Number: | 2075638879 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 05/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |