Organization
BOSTON OCULAR PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLEE LIZABETH DOUGHERTY BCO, CCA (PRESIDENT)
(800) 824-2492
Entity
Organization
Contact information
Practice address
15 LOWELL ST, PORTLAND, ME 04102-2726
(800) 824-2492
(877) 824-2413
Mailing address
PO BOX 245, SEARSPORT, ME 04974-0245
(800) 824-2492
(877) 824-2413
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
—
—
229N00000X
Anaplastologist
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
05/06/2020
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