Organization
GRAY FAMILY VISION CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GUISELEY O.D. (PRESIDENT)
(207) 657-4488
Entity
Organization
Contact information
Practice address
6 TURNPIKE ACRES ROAD, GRAY, ME 04039
(207) 657-4488
(207) 657-4574
Mailing address
PO BOX 1088, GRAY, ME 04039-1088
(207) 657-4488
(207) 657-4574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT742
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000912
GUISELEY ANTHEM #
ME
01
—
005507769
GUISELEY SS#
ME
01
—
066629534
COOK SS#
ME
01
—
100225
COOK ANTHEM
ME
01
—
1194714733
COOK IND NPI
ME
01
—
1558378737
IND NPI FOR GUISELEY
ME
05
—
161630000
—
ME
01
—
MM9058
COOK IND MEDICARE #
ME
01
—
T31390
GUISELEY IND UPIN #
ME
01
—
U59458
COOK MEDICARE UPIN
ME
Enumeration date
08/28/2006
Last updated
08/08/2012
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