Individual
MADISON ABBEY RHOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
15 CHALLENGER DR, LEWISTON, ME 04240-1041
(877) 421-8263
Mailing address
227 EASTERN AVE, AUGUSTA, ME 04330-5951
(304) 380-7999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002923
VA
152W00000X
Optometrist
2221DT
KY
152W00000X
Optometrist
Primary
OPT1081
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2020
Last updated
06/21/2024
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