NPI 1700897188 · live from the CMS NPI Registry
Roger L Brignull, OD
Optometrist in Ellsworth, ME. National Provider Identifier 1700897188, active.
NPI record
| NPI | 1700897188 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 82 Water St, Ellsworth, ME 04605 |
| Practice phone | 207-667-8615 |
| Enumerated | August 10, 2006 |
| Last updated | January 18, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT551 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.