NPI 1568560811 · live from the CMS NPI Registry
Lee U De Rosa, O.D.
Optometrist in Lewiston, ME. National Provider Identifier 1568560811, active.
NPI record
| NPI | 1568560811 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 633 Main St, Lewiston, ME 04240 |
| Practice phone | 207-783-8243 |
| Enumerated | September 20, 2006 |
| Last updated | October 27, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT623 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.