MEDICARE: ERIN GRACE MURPHY OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT1059	ME

General Provider Information

NPI Number	:	1043957483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN GRACE MURPHY OD

Provider Business Mailing Address
First Line	:	585 MAIN ST
Second Line	:
City	:	LEWISTON
State	:	ME
Zip	:	04240-5945
Country	:	US
Telephone Number	:	207-729-8474
Fax Number	:

Provider Business Practice Location Address
First Line	:	585 MAIN ST
Second Line	:
City	:	LEWISTON
State	:	ME
Zip	:	04240-5945
Country	:	US
Telephone Number	:	207-729-8474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2022
Last Update Date	:	09/03/2022

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