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Organization

EYE CENTER OF CENTRAL MAINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER C KOHLER MD (OWNER)
(207) 873-6048
Entity
Organization

Contact information

Practice address
40 AIRPORT RD, SUITE 1, WATERVILLE, ME 04901-4501
(207) 873-6048
(207) 877-9513
Mailing address
40 AIRPORT RD, SUITE 1, WATERVILLE, ME 04901-4501
(207) 873-6048
(207) 877-9513

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
013307
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042733
BLUE SHEILD
ME
01
180043475
RR MEDICARE
ME
01
2590268
AETNA
ME
05
290130099
ME
01
691518002
CIGNA
ME
Enumeration date
09/27/2007
Last updated
04/20/2008
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