Organization · NPI-2

Brunswick Eye Care Associates, PA

Optometrist · Brunswick, ME

NPI number1467533588
StatusActive
Last updated in NPPESApr 26, 2011

Details

NPI
1467533588
Entity type
Organization (NPI-2)
Legal business name
Brunswick Eye Care Associates, PA
Organization subpart
No
Enumeration date
Oct 17, 2006
Last updated
Apr 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometristopt661–Yes
207W00000X Ophthalmology011131ME
152W00000X Optometristopt618ME
152W00000X Optometristopt787–

Practice location

331 Maine St
Suite 1
Brunswick, ME 04011-3358

Phone 207-725-2161 · Fax 207-725-9189

Mailing address

331 Maine St
Suite 1
Brunswick, ME 04011-3358

Phone 207-725-2161 · Fax 207-725-9189

Authorized official

Brian L Daniels
President
2077252161

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Brunswick, ME