NPI 1497759989 · live from the CMS NPI Registry
John E. Gaetani, OD
Optometrist in Old Town, ME. National Provider Identifier 1497759989, active.
NPI record
| NPI | 1497759989 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 614 Stillwater Ave, Old Town, ME 04468 |
| Practice phone | 207-827-2616 |
| Enumerated | June 13, 2005 |
| Last updated | March 5, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT759 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.