Organization
EYECARE MEDICAL GROUP
Active
Other names
EMG Service Facility
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN SHORTY RN, CMPE (CHIEF OPERATING OFFICER)
(207) 791-8234
Entity
Organization
Contact information
Practice address
53 SEWALL ST, PORTLAND, ME 04102-2625
(207) 828-2020
(207) 773-7034
Mailing address
53 SEWALL ST, PORTLAND, ME 04102-2625
(207) 828-2020
(207) 773-7034
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
12/17/2021
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