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NPI 1467533588 · live from the CMS NPI Registry

Brunswick Eye Care Associates, PA

Optometrist in Brunswick, ME. National Provider Identifier 1467533588, active.

NPI record

NPI1467533588 Type 2 · organization
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location331 Maine St, Suite 1, Brunswick, ME 04011
Practice phone207-725-2161
EnumeratedOctober 17, 2006
Last updatedApril 26, 2011
Authorized officialBrian Daniels, President

Taxonomies and licenses

TaxonomyCodeLicense
Ophthalmology207W00000X011131 (ME)
Optometrist152W00000Xopt618 (ME)
Optometrist152W00000Xopt787
Optometrist primary152W00000Xopt661

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.