Organization
BRUNSWICK EYE CARE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN L DANIELS O.D. (PRESIDENT)
(207) 725-2161
Entity
Organization
Contact information
Practice address
331 MAINE ST, SUITE 1, BRUNSWICK, ME 04011-3358
(207) 725-2161
(207) 725-9189
Mailing address
331 MAINE ST, SUITE 1, BRUNSWICK, ME 04011-3358
(207) 725-2161
(207) 725-9189
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT618
ME
152W00000X
Optometrist
Primary
OPT661
—
152W00000X
Optometrist
OPT787
—
207W00000X
Ophthalmology Physician
011131
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111880000
—
ME
Enumeration date
10/17/2006
Last updated
04/26/2011
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