Organization
MOUNTAIN VIEW EYECARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER EVERETT O.D. (OWNER)
(207) 364-4491
Entity
Organization
Contact information
Practice address
140 MAIN ST, BETHEL, ME 04217-0955
(207) 824-2227
(207) 364-2237
Mailing address
PO BOX 955, BETHEL, ME 04217-0955
(207) 824-2227
(207) 364-2237
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT721
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43349100
—
ME
Enumeration date
04/12/2011
Last updated
04/12/2011
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