Organization
PINE TREE EYE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIELLE L COSTELLO OD (OWNER/OPTOMETRIST)
(207) 873-3500
Entity
Organization
Contact information
Practice address
166 SILVER ST, WATERVILLE, ME 04901-5815
(207) 873-3500
(207) 873-6167
Mailing address
166 SILVER ST, WATERVILLE, ME 04901-5815
(207) 873-3500
(207) 873-6167
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT942
ME
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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