Organization
MAINE EYE CARE ASSOCIATES
Active
Other names
Maine Eye Care Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J PURNELL (CEO)
(207) 873-2731
Entity
Organization
Contact information
Practice address
325A KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4517
(207) 873-2731
Mailing address
325A KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4517
(207) 873-2731
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
36403
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105500100
—
ME
01
—
490005318
RAILROAD MEDICARE
ME
Enumeration date
03/20/2006
Last updated
03/31/2010
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