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NPI Code Detail

MEDICARE: METAYER EYE CARE PA

MEDICARE: METAYER EYE CARE PA
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
1152W00000XOptometristOPT726ME

General Provider Information

NPI Number : 1174604037
Entity Type Code : Organization
Provider Name (Legal Business Name) : METAYER EYE CARE PA
Provider Business Mailing Address
First Line : 4 COMMONS AVE STE B
Second Line :
City : WINDHAM
State : ME
Zip : 04062-5554
Country : US
Telephone Number : 207-892-2273
Fax Number : 207-892-2275
Provider Business Practice Location Address
First Line : 4 COMMONS AVE STE B
Second Line :
City : WINDHAM
State : ME
Zip : 04062-5554
Country : US
Telephone Number : 207-892-2273
Fax Number : 207-892-2275
Authorized Official
Title or Position : OWNER
Name : ROXANNE P. METAYER
Credential : O.D.
Telephone Number : 207-892-2273
Provider Enumeration Date : 10/18/2006
Last Update Date : 01/05/2023

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Directions to “METAYER EYE CARE PA ” Practice Location

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