NPI 1982106548
Boston Ocular Prosthetics INC
Practice location
- Address
- 15 Lowell St, Portland, ME 04102-2726
- Phone
- (800) 824-2492
- Fax
- (877) 824-2413
- Mailing address
- PO Box 245, Searsport, ME 04974-0245
Authorised official
- Name
- Kaylee Lizabeth Dougherty
- Title
- President
- Phone
- (800) 824-2492
Registered specialties (2)
Anaplastologist
Primary
Registry record
- NPI
- 1982106548
- Entity type
- Organization
- NPI issued
- 28 Feb 2018
- Record last updated
- 6 May 2020
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.