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General NPI Number Information
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NPI Number | 1770498867
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Entity Type | Organization
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Legal Business Name | NORTHERN MAINE EYEWEAR LLC
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 163 STATE ST
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City | PRESQUE ISLE
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State | ME
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Zip | 04769-2606
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Country | US
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Telephone | 207-227-9279
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Fax | 207-292-9904
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Provider Business Mailing Address
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Address Line | 163 STATE ST
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City | PRESQUE ISLE
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State | ME
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Zip | 04769-2606
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Country | US
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Telephone | 207-227-9279
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Fax | 207-292-9904
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | LISA THOMPSON
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Credential | OPTICIAN
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Telephone | 207-227-9279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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