NPI 1063354280

Jacob Omar Khoussine, MDPHD

Practitioner Ophthalmology Physician Portland, ME

Practice location

Address: 22 Bramhall St, Portland, ME 04102-3175
Phone: (207) 662-7068
Mailing address: 4620 Frey St APT 115, Madison, WI 53705-2903

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence EC261086 (ME)

Other Ophthalmology providers in Maine →

Registry record

NPI: 1063354280
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Apr 2026
Record last updated: 7 Apr 2026

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.