Individual
NORMAN KENNETH FERGUSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
479 MAIN ST, FRYEBURG, ME 04037-1118
(207) 935-3307
(207) 935-4002
Mailing address
479 MAIN ST, FRYEBURG, ME 04037-1118
(207) 935-3307
(207) 935-4002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT699TA
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010448803001
CIGNA
—
01
—
015125
BXBS
—
01
—
09Y002162ME01
ANTHEM BXBS
NH
01
—
699TA
CBA
—
Enumeration date
03/15/2006
Last updated
01/15/2008
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