NPI 1891010997 · live from the CMS NPI Registry
Adam Burchard Sise, M.D.
Ophthalmology in Portland, ME. National Provider Identifier 1891010997, active.
NPI record
| NPI | 1891010997 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 53 Sewall St, Portland, ME 04102 |
| Practice phone | 207-828-2020 |
| Enumerated | March 31, 2010 |
| Last updated | November 25, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Ophthalmology primary | 207W00000X | MD20477 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.