NPI 1285296517

Kevin W Shum, OD

Practitioner Optometrist Brunswick, ME

Practice location

Address: 82 Maine St, Brunswick, ME 04011-2015
Phone: (207) 729-8474
Fax: (207) 729-8955

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT1014 (ME)

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Registry record

NPI: 1285296517
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2019
Record last updated: 8 Jul 2019

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.