Eyecare Medical Group Optical Shop in Portland - Eyewear Supplier
Eyecare Medical Group Optical Shop - NPI 1184729915
Eyecare Medical Group Optical Shop is a Eyewear Supplier in Portland, Maine. Eyecare Medical Group Optical Shop practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Eyecare Medical Group Optical Shop is 1184729915. The last update date is 2023-07-31.
Eyecare Medical Group Optical Shop's current location address is 53 Sewall Street, Portland, Maine. You can contact this provider via phone number 2078282020 and fax number 2077737034. The mailing address for Eyecare Medical Group Optical Shop is 53 Sewall Street, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eyecare Medical Group Optical Shop |
|---|---|
| Address | 53 Sewall Street, Portland, Maine |
| Phone Number | 2078282020 |
| Fax Number | 2077737034 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OPER |
|---|---|
| Authorized Official Name | Shorty Lynn |
| Credentials | RN, CMPE |
| Telephone Number | 2077918234 |
NPI Number Detail
| NPI Number | 1184729915 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2023-07-31 |
Provider Mailing Address Detail
| Address | 53 Sewall Street |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 4102 |
| Phone Number | 2078282020 |
| Fax Number | 2077737034 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 109280300 | ME | -- |
Post Comment/ Review Below
What is the Eyecare Medical Group Optical Shop's unique identification number?
The Eyecare Medical Group Optical Shop has been assigned the NPI (National Provider Identifier) Number 1184729915 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Eyecare Medical Group Optical Shop is physically located?
The Eyecare Medical Group Optical Shop is situated at the following address: 53 Sewall Street, Portland, ME 4102.
What is Eyecare Medical Group Optical Shop's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eyecare Medical Group Optical Shop is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184729915 to Eyecare Medical Group Optical Shop?
The Centers for Medicare & Medicaid Services assigned the 1184729915 to Eyecare Medical Group Optical Shop on 2006-09-14.
When was the information pertaining to Eyecare Medical Group Optical Shop most recently updated or revised?
The details related to Eyecare Medical Group Optical Shop, including its address, specialty, and other relevant information, were last updated or revised on 2023-07-31.
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