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NORTHEAST RETINA ASSOCIATES PA NPI 1124005590


NPI Information

NPI: 1124005590
Provider Name: NORTHEAST RETINA ASSOCIATES, PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
272 COTTAGE ST
SANFORD, ME
ZIP 04073
Phone: (207) 324-3380
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NORTHEAST RETINA ASSOCIATES, PA is an ophthalmology in Sanford, ME. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. NORTHEAST RETINA ASSOCIATES, PA NPI is 1124005590. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

272 COTTAGE ST
SANFORD, ME
ZIP 04073-815
Phone: (207) 324-3380
Fax: (207) 636-5023

The provider's authorized official is Jennifer Brearey .
The authorized official title is Ophthalmic Manager and has the following contact phone number (207) 324-3380.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology9375NEW HAMPSHIRENo
2207W00000XOphthalmology013866MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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