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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

NPI # 1447343926
LBN Legal business name KITTERY OPTOMETRIC ASSOCIATES, PLLC
Authorized official KEVIN WEBB - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 04/29/2015 - About 11 years ago
Identifiers
ME Medicaid 117490000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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