Organization
TERE AND JUDY PA
Active
Other names
Tere K Porter OD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERE KENT PORTER OD (OPTOMETRIST PRESIDENT)
(207) 743-6271
Entity
Organization
Contact information
Practice address
66 PARIS ST, NORWAY, ME 04268-0206
(207) 743-6271
(207) 743-2119
Mailing address
PO BOX 206, 66 PARIS ST, NORWAY, ME 04268-0206
(207) 743-6271
(207) 743-2119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT502
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0624710001
DMERC
ME
01
—
119862
ANTHEM
—
01
—
1324328
CIGNA
—
01
—
220953
COLE MANAGE VISION
—
01
—
ME0502
EYEMED
—
01
—
MN0075
HARVARD PILGRIM
—
Enumeration date
09/28/2006
Last updated
02/04/2008
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