Organization
CASCO BAY EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANASTASIO OD (PRESIDENT)
(207) 885-8686
Entity
Organization
Contact information
Practice address
TEN Q STREET, SOUTH PORTLAND, ME 04106
(207) 799-3877
(207) 799-4617
Mailing address
PO BOX 7487, PORTLAND, ME 04112
(207) 885-8686
(207) 883-7154
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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