NPI 1497857429 · live from the CMS NPI Registry
Troy Michael Avery, O.D.
Optometrist in Lewiston, ME. National Provider Identifier 1497857429, active.
NPI record
| NPI | 1497857429 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 181 Russell St, Lewiston, ME 04240 |
| Practice phone | 207-784-1814 |
| Mailing address | 181 Russell Street, Lewiston, ME 04240 |
| Enumerated | September 1, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT814 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.