Organization
ASSOCIATED EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE JANVRIN (CFO)
(207) 324-8888
Entity
Organization
Contact information
Practice address
272 COTTAGE STREET, MAINE, ME 04073-1815
(207) 324-8888
(207) 490-1716
Mailing address
272 COTTAGE ST, SANFORD, ME 04073-1815
(207) 324-8888
(207) 490-1716
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT901
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT901
STATE LICENCE NUMBER
ME
Enumeration date
10/07/2008
Last updated
10/07/2008
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