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Organization

MID STATE EYE ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK STEPHEN VARNUM OD (CEO)
(207) 465-9500
Entity
Organization

Contact information

Practice address
840 KENNEDY MEMORIAL DRIVE, SUITE 2, OAKLAND, ME 04963
(207) 465-9500
(207) 465-9500
Mailing address
840 KENNEDY MEMORIAL DRIVE, SUITE 2, OAKLAND, ME 04963
(207) 465-9500
(207) 465-9500

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT747
ME

Other

Enumeration date
09/15/2006
Last updated
12/19/2007
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