Organization
EYE CARE & EYE WEAR CENTER OF MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA G HENNESSEY (PRACTICE MANAGER)
(207) 854-1801
Entity
Organization
Contact information
Practice address
151 MAIN ST, WESTBROOK, ME 04092-4808
(207) 854-1801
(207) 854-0260
Mailing address
151 MAIN ST, WESTBROOK, ME 04092-4808
(207) 854-1801
(207) 854-0260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107830000
—
ME
01
—
C13901
RAILROAD MEDICARE
ME
01
—
G0116
ANTHEM
ME
Enumeration date
03/07/2007
Last updated
10/07/2009
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