Provider Demographics
NPI:1518591593
Name:MAINE EYE DOCTORS PA
Entity Type:Organization
Organization Name:MAINE EYE DOCTORS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ZLATKO
Authorized Official - Middle Name:
Authorized Official - Last Name:NECEVSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:207-820-2020
Mailing Address - Street 1:25 FIRST PARK DR STE A
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04963-5370
Mailing Address - Country:US
Mailing Address - Phone:207-820-2020
Mailing Address - Fax:207-616-3437
Practice Address - Street 1:25 FIRST PARK DR STE A
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:ME
Practice Address - Zip Code:04963-5370
Practice Address - Country:US
Practice Address - Phone:207-314-5728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty