NPI 1972562734 · live from the CMS NPI Registry
Peter Ebbert Hall, D.V.M ., O.D.
Optometrist in Portland, ME. National Provider Identifier 1972562734, active.
NPI record
| NPI | 1972562734 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1040 Brighton Ave, Cornerbrook Plaza Eyecare/Portland Eyecare, Portland, ME 04102 |
| Practice phone | 207-253-5333 |
| Mailing address | 18 Justamere Rd, Falmouth, ME 04105 |
| Enumerated | March 21, 2006 |
| Last updated | January 15, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | ME OPT860 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.