Individual
MOHEERA ATHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
272 COTTAGE ST, SANFORD, 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
046011766
IL
152W00000X
Optometrist
Primary
OPT1089
ME
Other
Enumeration date
07/06/2023
Last updated
06/11/2025
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