Eye Center Northeast

LBN: Eye Center Northeast
Eye Center Northeast is an health care organization with primary practice located at 417 State St Suite 230, Bangor ME 04401-6620. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Eye Center Northeast can be contacted via phone (207) 947-1291, or through Arnold, Reginald R via phone (207) 947-1291.

Contact Information

Primary practice address
417 State St Suite 230 Bangor ME 04401-6620
Phone: (207) 947-1291
Fax: (207) 947-9241
Website:
Map and Directions
Authorized official contact:
Name: Arnold, Reginald R
Phone: (207) 947-1291

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1174603872
LBN Legal business name Eye Center Northeast
DBA Doing business as
Authorized official Arnold, Reginald R
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Jun 2nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174603872 NPPES
Other 1042060 AETNA
MEDICAID 114630000 AETNA
MEDICAID 114630100 AETNA

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