Individual
DEREK VIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
242 BATH RD, BRUNSWICK, ME 04011-2646
(207) 389-3525
Mailing address
77 MORNINGSIDE DR, LONGMEADOW, MA 01106-2313
(413) 949-9072
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1073
ME
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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