Eyecare Medical Group Optical Shop

LBN: Eyecare Medical Group Optical Shop
Eyecare Medical Group Optical Shop is an health care organization with primary practice located at 53 Sewall Street , Portland ME 04102. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Eyecare Medical Group Optical Shop can be contacted via phone (207) 828-2020, or through Shorty, Lynn via phone (207) 791-8234.

Contact Information

Primary practice address
53 Sewall Street Portland ME 04102
Phone: (207) 828-2020
Fax: (207) 773-7034
Website:
Map and Directions
Authorized official contact:
Name: Shorty, Lynn RN, CMPE
Phone: (207) 791-8234

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1184729915
LBN Legal business name Eyecare Medical Group Optical Shop
DBA Doing business as
Authorized official Shorty, Lynn RN, CMPE
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 31st, 2023 - about 3 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 1184729915 NPPES
Maine MEDICAID 109280300

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