MEDICARE: ROXANNE PARKER METAYER O.D.

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	OPT726	ME

General Provider Information

NPI Number	:	1609967470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROXANNE PARKER METAYER O.D.

Provider Business Mailing Address
First Line	:	4 COMMONS AVE # 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 # 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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	01/05/2023

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