NPI 1235174889
Stephen Lewis Ebersole, OD
Practice location
- Address
- 168 East Ave Optometric Associates, Lewiston, ME 04240
- Phone
- (207) 784-3564
- Fax
- (207) 782-2541
- Mailing address
- 168 East Ave Optomeric Associates PA, Lewiston, ME 04240-5626
Registered specialties (2)
Optometrist
Primary
Optometrist
Registry record
- NPI
- 1235174889
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Jun 2006
- Record last updated
- 4 Jan 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.