Individual
MARK B WEATHERBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
26 ENFIELD RD, LINCOLN, ME 04457-1190
(207) 794-2020
(207) 794-8288
Mailing address
PO BOX 36, LINCOLN, ME 04457-0036
(207) 794-2020
(207) 794-8288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT617
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0477200001
DME MEDICARE
ME
Enumeration date
11/03/2005
Last updated
03/25/2008
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