Organization
CORNERBROOK PLAZA EYE CARE P A
Active
Other names
Portland Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER EBBERT HALL O.D. (PRESIDENT)
(207) 253-5333
Entity
Organization
Contact information
Practice address
1040 BRIGHTON AVE, PORTLAND, ME 04102
(207) 253-5333
Mailing address
1040 BRIGHTON AVE, PORTLAND, ME 04102
(207) 253-5333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MEOPT860
ME
Other
Enumeration date
04/19/2011
Last updated
05/20/2011
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