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Organization
EYE CENTER OF CENTRAL MAINE
Active
Organization
EYE CENTER OF CENTRAL MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER C KOHLER MD (OWNER)
(207) 873-6048
Entity
Organization
Contact information
Practice address
40 AIRPORT RD, SUITE 1, WATERVILLE, ME 04901-4501
(207) 873-6048
(207) 877-9513
Mailing address
40 AIRPORT RD, SUITE 1, WATERVILLE, ME 04901-4501
(207) 873-6048
(207) 877-9513
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
013307
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042733
BLUE SHEILD
ME
01
—
180043475
RR MEDICARE
ME
01
—
2590268
AETNA
ME
05
—
290130099
—
ME
01
—
691518002
CIGNA
ME
Enumeration date
09/27/2007
Last updated
04/20/2008
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