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General NPI Number Information
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NPI Number | 1174604037
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Entity Type | Organization
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Legal Business Name | METAYER EYE CARE PA
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 4 COMMONS AVE STE B
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City | WINDHAM
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State | ME
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Zip | 04062-5554
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Country | US
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Telephone | 207-892-2273
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Fax | 207-892-2275
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Provider Business Mailing Address
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Address Line | 4 COMMONS AVE STE B
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City | WINDHAM
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State | ME
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Zip | 04062-5554
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Country | US
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Telephone | 207-892-2273
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Fax | 207-892-2275
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Authorized Official
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Title or Position | OWNER
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Name | ROXANNE P. METAYER
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Credential | O.D.
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Telephone | 207-892-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT726
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License Number State | ME
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