NPI 1902802028 · live from the CMS NPI Registry
Peter S Hedstrom, MD
Ophthalmology in Portland, ME. National Provider Identifier 1902802028, active.
NPI record
| NPI | 1902802028 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 15 Lowell St, Portland, ME 04102 |
| Practice phone | 207-774-8277 |
| Enumerated | June 23, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 011295 (ME) |
| Ophthalmology | 207W00000X | 7030 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.