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Contact Information

KITTERY OPTOMETRIC ASSOCIATES, PLLC
99 US ROUTE 1 BYP
SUITE A
KITTERY, ME03904-1570
 Phone: 207-439-0410
 Fax: 207-439-8353
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for KITTERY OPTOMETRIC ASSOCIATES PLLC · (Female)

NPI # 1447343926
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2006
Last updated 04/29/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • ME Medicaid 117490000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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