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Organization
EYECARE MEDICAL GROUP
Active
Organization
EYECARE MEDICAL GROUP
Active
Other names
EMG Service Facility
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN SHORTY RN, CMPE (CHIEF OPERATING OFFICER)
(207) 791-8234
Entity
Organization
Contact information
Practice address
53 SEWALL ST, PORTLAND, ME 04102-2625
(207) 828-2020
(207) 773-7034
Mailing address
53 SEWALL ST, PORTLAND, ME 04102-2625
(207) 828-2020
(207) 773-7034
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
12/17/2021
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