Organization
BOLDCOAST EYECARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE HAAS (BILLING)
(877) 333-0323
Entity
Organization
Contact information
Practice address
251 US RTE 1, SUITE W9B, FALMOUTH, ME 04105
(207) 347-3333
Mailing address
251 US RTE 1, SUITE W9B, FALMOUTH, ME 04105
(207) 347-3333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT805
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100229
ANTHEM
ME
01
—
ME02421
CIGNA
ME
Enumeration date
10/06/2006
Last updated
06/13/2008
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