MAINE EYE CENTER PA NPI 1295855948

NPI Information

MAINE EYE CENTER, PA is an ambulatory surgical clinic center in Portland, ME. MAINE EYE CENTER, PA NPI is 1295855948. The provider is registered as an organization entity type.

The provider's business location address is:

161 MARGINAL WAY
PORTLAND, ME
ZIP 04101-438
Phone: (207) 774-8277
Fax: (207) 699-5850

The provider's authorized official is Judith Mccann .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (848) 219-2109.

The CLIA number assigned to this NPI record is 20D2137914 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 10/12/2023.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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