NPI 1184729915

Eyecare Medical Group Optical Shop

Organisation Eyewear Supplier Portland, ME

Practice location

Address: 53 Sewall Street, Portland, ME 04102
Phone: (207) 828-2020
Fax: (207) 773-7034

Authorised official

Name: Lynn Shorty
Title: Chief Operating Offier
Phone: (207) 791-8234

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Maine →

Registry record

NPI: 1184729915
Entity type: Organization
NPI issued: 14 Sep 2006
Record last updated: 31 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.