NPI 1639856594 · live from the CMS NPI Registry
Maria Ennamorati, OD
Optometrist in Waldoboro, ME. National Provider Identifier 1639856594, active.
NPI record
| NPI | 1639856594 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 580 Storer Mountain Rd, Waldoboro, ME 04572 |
| Practice phone | 617-595-9928 |
| Enumerated | July 3, 2023 |
| Last updated | July 3, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT1072 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.