Organization
KENNETH F. NUZZO, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH F. NUZZO O.D. (OWNER)
(207) 622-3015
Entity
Organization
Contact information
Practice address
31 WATER ST, HALLOWELL, ME 04347-1440
(207) 622-3015
(207) 622-1299
Mailing address
31 WATER ST, HALLOWELL, ME 04347-1440
(207) 622-3015
(207) 622-1299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT593
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005177
FEDERAL ANTHEM BCBS
ME
01
—
1041458
AETNA HEALTHCARE
ME
05
—
115450000
—
ME
01
—
410007801
RAILROAD MEDICARE
ME
01
—
DD0505
RAILROAD MEDICARE
ME
01
—
M63500
CIGNA HEALTHCARE
ME
01
—
MNT779
HARVARD PILGRIM
ME
Enumeration date
10/09/2006
Last updated
02/14/2008
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