Individual
DR. MICHAEL C PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
16 SOMERSET PLZ, PITTSFIELD, ME 04967-1334
(207) 487-2261
(207) 487-3977
Mailing address
325A KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4517
(207) 873-2731
(207) 873-1106
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT835
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308760099
—
ME
Enumeration date
06/23/2005
Last updated
08/14/2008
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