NPI 1710181045

Mark A. Nickerson

Practitioner Optician Brunswick, ME

Practice location

Address: 8 Mason St, Brunswick, ME 04011-1514
Phone: (207) 725-7741
Mailing address: 8 Mason Street, Brunswick, ME 04011

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 13545 (ME)

Other Technician/Technologist providers in Maine →

Registry record

NPI: 1710181045
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2007
Record last updated: 8 Jul 2007

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.