NPI 1780879510 · live from the CMS NPI Registry
Riverside Eye Center PA
Ophthalmology in Lewiston, ME. National Provider Identifier 1780879510, active.
NPI record
| NPI | 1780879510 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 475 Lisbon St, Lewiston, ME 04240 |
| Practice phone | 207-786-2500 |
| Mailing address | 193 Main St, Riverside Eye Center, Norway, ME 04268 |
| Enumerated | September 14, 2007 |
| Last updated | August 9, 2023 |
| Authorized official | Janice Fournier, Practice Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 015596 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.