Provider Demographics
NPI:1154893386
Name:DR N SCOTT FERGUSON OPTOMETRIST
Entity type:Organization
Organization Name:DR N SCOTT FERGUSON OPTOMETRIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:207-935-3307
Mailing Address - Street 1:479 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FRYEBURG
Mailing Address - State:ME
Mailing Address - Zip Code:04037-1118
Mailing Address - Country:US
Mailing Address - Phone:207-935-3307
Mailing Address - Fax:207-935-4002
Practice Address - Street 1:479 MAIN ST
Practice Address - Street 2:
Practice Address - City:FRYEBURG
Practice Address - State:ME
Practice Address - Zip Code:04037-1118
Practice Address - Country:US
Practice Address - Phone:207-935-3307
Practice Address - Fax:207-935-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty