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Organization

PETER NESIN, OPTICIAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER NESIN (OWNER)
(207) 338-2440
Entity
Organization

Contact information

Practice address
158 NORTHPORT AVE, BELFAST, ME 04915-6060
(207) 338-2440
(207) 338-2440
Mailing address
158 NORTHPORT AVE, BELFAST, ME 04915-6060
(207) 338-2440
(207) 338-2440

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110560000
ME
Enumeration date
03/16/2008
Last updated
06/19/2013
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