Organization
NATHAN CORBELL, PHD, OD, INC
Active
Other names
Seacoast Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN CORBELL O.D. (OWNER)
(207) 396-6603
Entity
Organization
Contact information
Practice address
25 HANNAFORD DR., SCARBOROUGH, ME 04074-9057
(207) 396-6603
(207) 396-6604
Mailing address
25 HANNAFORD DR., SCARBOROUGH, ME 04074-9057
(207) 396-6603
(207) 396-6604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT907
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000958602
MEDICARE
ME
05
—
1215133541
—
ME
Enumeration date
04/25/2012
Last updated
05/07/2015
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