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NPI 1720044878 · live from the CMS NPI Registry

Maine Eye Center, PA

Ophthalmology in Portland, ME. National Provider Identifier 1720044878, active.

NPI record

NPI1720044878 Type 2 · organization
StatusActive
Primary specialtyOphthalmology 207W00000X
Practice location15 Lowell St, Portland, ME 04102
Practice phone207-774-8277
EnumeratedApril 25, 2006
Last updatedOctober 12, 2023
Authorized officialJudith Mccann, Director Of Revenue Cycle

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist152W00000X—
Optometrist, Corneal and Contact Management152WC0802X—
Technician/Technologist, Contact Lens156FC0800X—
Technician/Technologist, Ophthalmic Assistant156FX1101X—
Technician/Technologist, Optometric Technician156FX1202X—
Technician/Technologist, Optician156FX1800X—
Ophthalmology primary207W00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.