Organization
COASTAL EYE CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE PIAZZA M.D. (OWNER / PRESIDAENT)
(207) 667-6300
Entity
Organization
Contact information
Practice address
128 BUCKSPORT RD, SUITE B, ELLSWORTH, ME 04605-2239
(207) 667-6300
(207) 667-9523
Mailing address
PO BOX 1539, BLUE HILL, ME 04614-1539
(207) 667-6300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127190000
—
ME
Enumeration date
10/25/2006
Last updated
02/11/2010
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