Organization
GEORGE M TAYLOR, JR., O.D., LLC
Active
Other names
George M. Taylor, Jr., O.D. Clais Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE M TAYLOR JR. O.D. (OWNER AND OPTOMETRIST)
(207) 454-2255
Entity
Organization
Contact information
Practice address
330 NORTH ST, CALAIS, ME 04619-1209
(207) 454-2255
(207) 952-9151
Mailing address
330 NORTH ST, CALAIS, ME 04619-1209
(207) 454-2255
(207) 952-9151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT731
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020400758
TRICARE NORTH
ME
05
—
140840000
—
ME
01
—
410039523
RAILROAD MEDICARE
ME
Enumeration date
02/09/2016
Last updated
02/09/2016
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