Individual
MRS. ELIZABETH A MORSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
272 STATE STREET, OPTICAL OUTLET, LLC, BREWER, ME 04412
(207) 992-9172
(207) 992-2401
Mailing address
272 STATE STREET, OPTICAL OUTLET, LLC, BREWER, ME 04412
(207) 992-9172
(207) 992-2401
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
CERTIFICATE #157491
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433093600
—
ME
Enumeration date
04/21/2009
Last updated
04/21/2009
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