Organization
PETER J KAZANOVICZ
Active
Other names
d/b/a STUDLEY OCULAR LABORATORIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J KAZANOVICZ B.C.O. (BOARD CERTIFIED OCULARIST/OWNER)
(603) 622-5200
Entity
Organization
Contact information
Practice address
1685 CONGRESS STREET, PORTLAND, ME 04102-2776
(207) 772-1467
(603) 644-2354
Mailing address
169 S RIVER RD, UNIT 14A, BEDFORD, NH 03110-6971
(603) 622-5200
(603) 644-2354
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141840000
—
ME
Enumeration date
12/26/2007
Last updated
10/30/2012
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