Organization
JOSEPH V BARRESI ODPA
Active
Other names
Barresi & Mitchell OD's
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A MITCHELL OD (PRESIDENT)
(207) 834-3124
Entity
Organization
Contact information
Practice address
12 W MAIN ST, FORT KENT, ME 04743-1231
(207) 834-3124
(207) 834-3127
Mailing address
12 W MAIN ST, FORT KENT, ME 04743-1231
(207) 834-3124
(207) 834-3127
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024174
ANTHEM
ME
05
—
109310000
—
ME
01
—
2022593
AETNA
ME
01
—
410046313
RR MEDICARE
—
01
—
8047994
CIGNA
ME
01
—
A08007219
DMERC SUBMITTER NUMBER
—
Enumeration date
03/13/2007
Last updated
12/22/2008
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