NPI 1437440435 · live from the CMS NPI Registry
Jessica Susan Watson, MD
Ophthalmology in Bangor, ME. National Provider Identifier 1437440435, active.
NPI record
| NPI | 1437440435 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 885 Union St Ste 130, Bangor, ME 04401 |
| Practice phone | 207-973-4185 |
| Mailing address | 15 Lowell Street, Portland, ME 04102 |
| Enumerated | April 25, 2011 |
| Last updated | March 11, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | MD-42456 (IA) |
| Ophthalmology, Retina Specialist | 207WX0107X | MD21388 (ME) |
| Ophthalmology primary | 207W00000X | MD21388 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.