NPI 1639469000

Cornerbrook Plaza Eye Care P a

Organisation Optometrist Portland, ME

Practice location

Address: 1040 Brighton Ave, Portland, ME 04102
Phone: (207) 253-5333

Authorised official

Name: Peter Ebbert Hall
Title: President
Phone: (207) 253-5333

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence MEOPT860 (ME)

Other Optometrist providers in Maine →

Registry record

NPI: 1639469000
Entity type: Organization
NPI issued: 19 Apr 2011
Record last updated: 20 May 2011

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.