Organization
MAINE PROFESSIONAL OPTICIANS AND HEARING AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA ANN EDMONDSON OPTICIAN (OWNER)
(207) 622-5751
Entity
Organization
Contact information
Practice address
226 WESTERN AVE, AUGUSTA, ME 04330-6126
(207) 622-9706
Mailing address
226 WESTERN AVE, AUGUSTA, ME 04330-6126
(207) 622-9706
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
161408
MH
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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