Provider Demographics
NPI:1700212966
Name:SEEBREEZE FAMILY EYECARE, P.A.
Entity Type:Organization
Organization Name:SEEBREEZE FAMILY EYECARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARNECHECK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:207-338-1480
Mailing Address - Street 1:91 WALDO AVENUE
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6615
Mailing Address - Country:US
Mailing Address - Phone:207-338-1480
Mailing Address - Fax:
Practice Address - Street 1:91 WALDO AVENUE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6615
Practice Address - Country:US
Practice Address - Phone:207-338-1480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty