Individual
JOSHUA D VISALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
99 US ROUTE 1 BYP, KITTERY, ME 03904-1559
(207) 439-0410
Mailing address
99 US ROUTE 1 BYP, KITTERY, ME 03904-1559
(207) 439-0410
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1080
ME
Other
Enumeration date
05/07/2018
Last updated
05/31/2024
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