NPI 1013191584 · live from the CMS NPI Registry
Jeremy Reid Valentine, M.D.
Ophthalmology in Millinocket, ME. National Provider Identifier 1013191584, active.
NPI record
| NPI | 1013191584 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 899 Central St, Millinocket, ME 04462 |
| Practice phone | 207-723-5376 |
| Mailing address | 1 Ridgewood Dr, Bangor, ME 04401 |
| Enumerated | December 20, 2007 |
| Last updated | July 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | md.201515 (LA) |
| Ophthalmology | 207W00000X | 7607529-1205 (UT) |
| Ophthalmology primary | 207W00000X | MD21434 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.