# EYE CENTER OF CENTRAL MAINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447447149
- **Authorized official:** PETER C KOHLER MD (OWNER)
- **Authorized official phone:** (207) 873-6048

## Contact information

- **Practice address:** 40 AIRPORT RD, SUITE 1, WATERVILLE, ME 04901-4501
- **Practice address phone:** (207) 873-6048
- **Practice address fax:** (207) 877-9513
- **Mailing address:** 40 AIRPORT RD, SUITE 1, WATERVILLE, ME 04901-4501
- **Mailing address phone:** (207) 873-6048
- **Mailing address fax:** (207) 877-9513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 013307 | ME | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 04/20/2008

## 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 |