# CENTRAL MAINE EYE SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1568967131
- **Authorized official:** JONATHAN BAILEY (MARKET PRESIDENT)
- **Authorized official phone:** (203) 609-1168

## Contact information

- **Practice address:** 249 MAIN ST, LEWISTON, ME 04240-7053
- **Practice address phone:** (207) 783-9653
- **Mailing address:** 14201 DALLAS PKWY, DALLAS, TX 75254-2916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2018
- **Last updated:** 10/29/2024