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Contact Information

NORTHEAST EYECARE, INC.
955 BROADWAY
BANGOR, ME04401
 Phone: 207-990-4388
 Fax: 207-947-9241
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for NORTHEAST EYECARE, INC.

NPI # 1467601872
LBN Legal business name NORTHEAST EYECARE, INC.
Authorized official DAVID DOUGLASS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/10/2008
Last updated 01/16/2025 - More than a year ago
Identifiers
ME License # OPT797
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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