# WOLF EYE ASSOCIATES, P.A.

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

## Provider details

- **NPI number:** 1992700132
- **Authorized official:** RUTH ANNE BROCHU (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (207) 783-9653

## Contact information

- **Practice address:** 249 MAIN ST, LEWISTON, ME 04240-7053
- **Practice address phone:** (207) 783-9653
- **Practice address fax:** (207) 786-4362
- **Mailing address:** 249 MAIN ST, LEWISTON, ME 04240-7053
- **Mailing address phone:** (207) 783-9653
- **Mailing address fax:** (207) 786-4362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 36163 | ME | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 12/10/2018