Healthcare Provider Details

I. General information

NPI: 1356256218
Provider Name (Legal Business Name): BELLE MAE ALEXANDRIA ALBERT OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 OAK ST
ELLSWORTH ME
04605-1670
US

IV. Provider business mailing address

125 OAK ST
ELLSWORTH ME
04605-1670
US

V. Phone/Fax

Practice location:
  • Phone: 207-667-4237
  • Fax: 207-667-4237
Mailing address:
  • Phone: 207-667-4237
  • Fax: 207-667-4237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT1126
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: