Organization
CRAIG K. SMALL O.D. FAMILY EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG K SMALL OD (OWNER)
(207) 496-5111
Entity
Organization
Contact information
Practice address
37 HERSCHEL ST, CARIBOU, ME 04736-2426
(207) 496-5111
(207) 498-6502
Mailing address
37 HERSCHEL ST, CARIBOU, ME 04736-2426
(207) 496-5111
(207) 498-6502
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT736
ME
152WC0802X
Corneal and Contact Management Optometrist
OPT736
ME
152WP0200X
Pediatric Optometrist
OPT736
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118340100
—
ME
Enumeration date
05/23/2007
Last updated
01/12/2024
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