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Organization
EYE CENTER NORTHEAST
Active
Organization
EYE CENTER NORTHEAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD R ARNOLD JR. (PRACTICE ADMINISTRATOR)
(207) 947-1291
Entity
Organization
Contact information
Practice address
417 STATE ST, SUITE 230, BANGOR, ME 04401-6620
(207) 947-1291
(207) 947-9241
Mailing address
417 STATE ST, SUITE 230, BANGOR, ME 04401-6620
(207) 947-1291
(207) 947-9241
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042060
AETNA
—
05
—
114630000
—
ME
05
—
114630100
—
ME
Enumeration date
10/17/2006
Last updated
06/02/2008
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