MAINE EYE CARE ASSOCIATES NPI 1952360059

NPI Information

NPI: 1952360059
Provider Name: MAINE EYE CARE ASSOCIATES

Doing Business As: MAINE EYE CARE SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
325A KENNEDY MEMORIAL DR
WATERVILLE, ME
ZIP 04901
Phone: (207) 873-2731
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MAINE EYE CARE ASSOCIATES is an ambulatory surgical clinic center in Waterville, ME. MAINE EYE CARE ASSOCIATES NPI is 1952360059. The provider is registered as an organization entity type.
The provider Is Doing Business As Maine Eye Care Surgery Center.

The provider's business location address is:

325A KENNEDY MEMORIAL DR
WATERVILLE, ME
ZIP 04901-517
Phone: (207) 873-2731

The provider's authorized official is Ronald J Purnell .
The authorized official title is Ceo and has the following contact phone number (207) 873-2731.

The CLIA number assigned to this NPI record is 20D0988775 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 3/31/2010.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	36403	MAINE	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201016	MEDICARE PIN	MAINE
2	490005318	OTHER	MAINE	RAILROAD MEDICARE
3	105500100	MEDICAID	MAINE

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: 4/28/2024

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