Stephen Lewis Ebersole in Lewiston - Optometrist

Stephen Lewis Ebersole - NPI 1235174889

Stephen Lewis Ebersole is a Optometrist in Lewiston, Maine. Stephen Lewis Ebersole practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stephen Lewis Ebersole is 1235174889. The last update date is 2011-01-04.

Stephen Lewis Ebersole's current location address is 168 East Ave, Lewiston, Maine. You can contact this provider via phone number 2077843564 and fax number 2077822541. The mailing address for Stephen Lewis Ebersole is 168 East Ave, Lewiston, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Lewis Ebersole
Address 168 East Ave, Lewiston, Maine
Phone Number 2077843564
Fax Number 2077822541
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1235174889
Provider Enumeration Date 2006-06-18
Last Updated Date 2011-01-04

Provider Mailing Address Detail

Address 168 East Ave
City Lewiston
State Maine (ME)
Post Code 42405626
Phone Number 2077843564
Fax Number 2077822541

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 832TA
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
313250099 ME --

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FAQs about Stephen Lewis Ebersole

What is the Stephen Lewis Ebersole's 1235174889?

The Stephen Lewis Ebersole's NPI (National Provider Identifier) Number is 1235174889. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Stephen Lewis Ebersole's facilities are geographically located?

The facilities of Stephen Lewis Ebersole are physically situated at the following location: 168 East Ave, Lewiston, ME, 42405626.

What is Stephen Lewis Ebersole's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stephen Lewis Ebersole is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.

On what date did the Stephen Lewis Ebersole receive the assignment of its 1235174889 from the Centers for Medicare & Medicaid Services?

The Stephen Lewis Ebersole was issued its 1235174889 by the Centers for Medicare & Medicaid Services on 2006-06-18.

When was the information pertaining to Stephen Lewis Ebersole most recently updated or revised?

The details related to Stephen Lewis Ebersole, including its address, specialty, and other relevant information, were last updated or revised on 2011-01-04.

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