Organization
AUBURN MALL EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALBERT METAYER O.D. (PRESIDENT)
(207) 782-5030
Entity
Organization
Contact information
Practice address
550 CENTER ST, BOX 9040, AUBURN, ME 04210-6305
(207) 782-5030
(207) 777-1179
Mailing address
550 CENTER ST, BOX 9040, AUBURN, ME 04210-6305
(207) 782-5030
(207) 777-1179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT725
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208820000
—
ME
Enumeration date
05/14/2009
Last updated
05/14/2009
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