Advanced Clinical Eyecare Of Southern Maine, P.c. | |
335 Maine Mall Rd, South Portland, ME 04106-3214 | |
(207) 771-7968 | |
(207) 771-7983 |
Full Name | Advanced Clinical Eyecare Of Southern Maine, P.c. |
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Type | Facility |
Speciality | Optometrist |
Location | 335 Maine Mall Rd, South Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679044739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jonathan Frank Olmes |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245786987 PECOS PAC ID: 0840587911 Enrollment ID: I20161013001875 |
Mailing Address | Practice Location Address |
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Advanced Clinical Eyecare Of Southern Maine, P.c. 335 Maine Mall Rd, South Portland, ME 04106-3214 Ph: (207) 771-7968 | Advanced Clinical Eyecare Of Southern Maine, P.c. 335 Maine Mall Rd, South Portland, ME 04106-3214 Ph: (207) 771-7968 |
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