De Rosa, Lee U

De Rosa, Lee U is an individual health care provider with primary practice located at 633 Main St , Lewiston ME 04240-5938. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. De Rosa, Lee U can be contacted via phone (207) 783-8243.

Contact Information

Primary practice address
633 Main St Lewiston ME 04240-5938
Phone: (207) 783-8243
Fax: (207) 783-0021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT623 Maine

Profile Details

NPI number 1568560811
LBN Legal business name De Rosa, Lee U
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 27th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568560811 NPPES
Maine Other 048845 ANTHEM BLUE CROSS
Maine Other 5536080001 ANTHEM BLUE CROSS
Maine MEDICAID 125060099 ANTHEM BLUE CROSS

Popular Providers