Healthcare Provider Details

I. General information

NPI: 1023933835
Provider Name (Legal Business Name): MID MAINE EYECARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 WATER ST
GARDINER ME
04345-2009
US

IV. Provider business mailing address

405 WATER ST
GARDINER ME
04345-2009
US

V. Phone/Fax

Practice location:
  • Phone: 207-590-0800
  • Fax:
Mailing address:
  • Phone: 207-590-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIN ELIZABETH LICHTENSTEIN
Title or Position: OWNER
Credential: MD
Phone: 207-590-0800