Individual
MR. CHRISTOPHER MORGAN WHEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
93 WASHINGTON AVE UNIT 2, PORTLAND, ME 04101-2618
(207) 730-6404
(207) 221-9302
Mailing address
93 WASHINGTON AVE UNIT 2, PORTLAND, ME 04101-2618
(203) 241-1799
(207) 221-9302
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6347
MA
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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