Individual
SYDNEY ANN BUTALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
152 MIDDLE ST, PORTLAND, ME 04101-4123
(207) 775-1819
Mailing address
8 ROGERS RD UNIT 207, FREEPORT, ME 04032-7506
(763) 354-4024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1088
ME
Other
Enumeration date
05/24/2024
Last updated
06/11/2025
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