NPI 1871094110 · live from the CMS NPI Registry
John Kenneth Lippincott, MD
Ophthalmology in Portland, ME. National Provider Identifier 1871094110, active.
NPI record
| NPI | 1871094110 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 53 Sewall St, Portland, ME 04102 |
| Practice phone | 207-828-2020 |
| Enumerated | February 22, 2018 |
| Last updated | September 17, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 76892 (WI) |
| Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist | 207WX0110X | 76892 (WI) |
| Ophthalmology primary | 207W00000X | MD28019 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.