NPI 1093860082 · live from the CMS NPI Registry
Kerry Timothy Connell, O.D.
Optometrist in Saco, ME. National Provider Identifier 1093860082, active.
NPI record
| NPI | 1093860082 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 323 Main St, Saco, ME 04072 |
| Practice phone | 207-284-4560 |
| Enumerated | January 23, 2007 |
| Last updated | May 13, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT641 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.