NPI 1487182580 · live from the CMS NPI Registry
Retina & Uveitis Consultants Of Maine
Ophthalmology, Retina Specialist in Bangor, ME. National Provider Identifier 1487182580, active.
NPI record
| NPI | 1487182580 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Retina Specialist 207WX0107X |
| Practice location | 336 Mount Hope Ave Ste 1, Bangor, ME 04401 |
| Practice phone | 207-573-1509 |
| Enumerated | June 1, 2017 |
| Last updated | July 21, 2022 |
| Authorized official | Anthony Ekong, Sole Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Uveitis and Ocular Inflammatory Disease | 207WX0108X | MD21285 (ME) |
| Ophthalmology, Retina Specialist primary | 207WX0107X | MD21285 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.