Organization
TRACY K GILES PA
Active
Other names
Giles Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY K GILES OD (PRESIDENT)
(207) 775-6533
Entity
Organization
Contact information
Practice address
1039 WASHINGTON AVE, PORTLAND, ME 04103-3628
(207) 775-6533
(207) 775-2702
Mailing address
1039 WASHINGTON AVE, PORTLAND, ME 04103-3628
(207) 775-6533
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115510000
—
ME
Enumeration date
01/29/2021
Last updated
01/29/2021
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