NPI 1851301022 · live from the CMS NPI Registry
Michael Harold Gonyea, O.D.
Optometrist in Ellsworth, ME. National Provider Identifier 1851301022, active.
NPI record
| NPI | 1851301022 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 82 Water St, Ellsworth, ME 04605 |
| Practice phone | 207-667-8615 |
| Enumerated | August 9, 2006 |
| Last updated | November 15, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT708 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.