NPI 1578822094 · live from the CMS NPI Registry
Brynn N Wajda, MD
Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery in Portland, ME. National Provider Identifier 1578822094, active.
NPI record
| NPI | 1578822094 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery 207WX0200X |
| Practice location | 15 Lowell St, Portland, ME 04102 |
| Practice phone | 207-774-8277 |
| Enumerated | May 4, 2012 |
| Last updated | October 12, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | MD21716 (ME) |
| Ophthalmology | 207W00000X | Q8382 (TX) |
| Ophthalmology, Glaucoma Specialist | 207WX0009X | MD21716 (ME) |
| Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery primary | 207WX0200X | MD21716 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.