Maine Family Eye Care | |
200 Gorham Rd, Suite 940, South Portland, ME 04106-2409 | |
(207) 761-9054 | |
Not Available |
Full Name | Maine Family Eye Care |
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Type | Facility |
Speciality | Optometrist |
Location | 200 Gorham 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 |
---|---|---|---|
1124364765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Mark E Elkinson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336233931 PECOS PAC ID: 1254315740 Enrollment ID: I20040614000905 |
Mailing Address | Practice Location Address |
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Maine Family Eye Care 200 Gorham Rd, Suite 940, South Portland, ME 04106-2409 Ph: (207) 761-9054 | Maine Family Eye Care 200 Gorham Rd, Suite 940, South Portland, ME 04106-2409 Ph: (207) 761-9054 |
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