NPI 1801077128 · live from the CMS NPI Registry
Retina Center Of Maine, LLC PA
Ophthalmology, Retina Specialist in Portland, ME. National Provider Identifier 1801077128, active.
NPI record
| NPI | 1801077128 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Retina Specialist 207WX0107X |
| Practice location | 195 Fore River Pkwy Ste 480, Portland, ME 04102 |
| Practice phone | 207-773-3937 |
| Enumerated | November 15, 2007 |
| Last updated | April 18, 2017 |
| Authorized official | Mark Balles, MD / Practice Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Retina Specialist primary | 207WX0107X | MD14047 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.