Provider Demographics
NPI:1407004864
Name:ORCUTT, CARINA L (OD)
Entity Type:Individual
Prefix:DR
First Name:CARINA
Middle Name:L
Last Name:ORCUTT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MISS
Other - First Name:CARINA
Other - Middle Name:L
Other - Last Name:MOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 PARK ST
Mailing Address - Street 2:
Mailing Address - City:CALAIS
Mailing Address - State:ME
Mailing Address - Zip Code:04619-1609
Mailing Address - Country:US
Mailing Address - Phone:207-454-2277
Mailing Address - Fax:207-454-2910
Practice Address - Street 1:4 PARK ST
Practice Address - Street 2:
Practice Address - City:CALAIS
Practice Address - State:ME
Practice Address - Zip Code:04619-1609
Practice Address - Country:US
Practice Address - Phone:207-454-2277
Practice Address - Fax:207-454-2910
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist