Organization
MAINE EYE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH MCCANN (DIRECTOR OF REVENUE CYCLE)
(848) 219-2109
Entity
Organization
Contact information
Practice address
161 MARGINAL WAY, PORTLAND, ME 04101-2438
(207) 774-8277
(207) 699-5850
Mailing address
15 LOWELL ST, PORTLAND, ME 04102-2726
(207) 774-8277
(207) 699-5850
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
36641
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000335
ANTHEM FACILITY GROUP
ME
05
—
106700300
—
ME
01
—
2359120
AETNA FACILITY GROUP
ME
01
—
M187212
CIGNA HS FACILITY GROUP
ME
Enumeration date
03/29/2007
Last updated
10/12/2023
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