Organization
YORK FAMILY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMMY LEE PELLETIER OD (PRESIDENT)
(207) 363-7555
Entity
Organization
Contact information
Practice address
764 US ROUTE 1, YORK, ME 03909-5883
(207) 363-7555
(207) 363-1711
Mailing address
764 US ROUTE 1, YORK, ME 03909-5883
(207) 363-7555
(207) 363-1711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT729
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018152
STAR #
ME
01
—
09Y000292ME01
BLUE CROSS PROVIDER #
ME
05
—
130570000
—
ME
01
—
2237986
AETNA
ME
01
—
5021708
CIGNA PROVIDER #
ME
01
—
M22891
CIGNA PROVIDER #
ME
01
—
MM6681
MEDICARE
—
01
—
MNT038
HARVARD PILGRIM
ME
Enumeration date
12/13/2007
Last updated
09/17/2010
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