Healthcare Provider Details

I. General information

NPI: 1336403286
Provider Name (Legal Business Name): JAMES S BREWER O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2012
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

484 MAINE AVE
FARMINGDALE ME
04344-0002
US

IV. Provider business mailing address

484 MAINE AVE
FARMINGDALE ME
04344-0002
US

V. Phone/Fax

Practice location:
  • Phone: 207-582-5800
  • Fax: 207-588-0743
Mailing address:
  • Phone: 207-582-5800
  • Fax: 207-588-0743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT928
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: