Active NPIOrganization

Specs, PA

Optometrist in South Casco, Maine

NPI Number1265754519
Practice location
195 Roosevelt Trail, South Casco, ME 04077
Fax
207-655-7770
Last updated
February 26, 2010

Specs, PA is a healthcare organization based in South Casco, ME. Specs, PA practices in South Casco, ME. The NPI Number for Specs, PA is 1265754519 and holds a License No. 760 (ME). The current practice location address for Specs, PA is 195 Roosevelt Trail, South Casco, ME 04077 and can be reached out via phone at 207-655-2020 and via fax at 207-655-7770.

Provider Profile Details

NPI Number
1265754519
Provider Name
Specs, PA
Provider Entity Type
Organization
Address
195 Roosevelt Trail, South Casco, ME 04077
Phone Number
207-655-2020
Fax Number
207-655-7770
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Thomas Vincent Gordon, OD · Owner · 207-655-2020
Other Names
Sebago Primary Eye Care Services (Doing Business As)
Provider Enumeration Date
February 26, 2010
Last Update Date
February 26, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Roosevelt Trail
South Casco, ME 04077
State
Maine
Zip
04077
Phone Number
207-655-2020
Fax Number
207-655-7770
South Casco, ME 04077Get directions →

Provider Business Mailing Address Details

Address
Po Box 200
South Casco, ME 04077-0200
City
South Casco
State
ME
Zip
04077-0200
Phone Number
207-655-2020
Fax Number
207-655-7770

License Information

License Number
760
License State
ME
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Specs, PA?

The NPI number of Specs, PA is 1265754519. It was assigned on February 26, 2010 and is currently active in the NPPES registry.

What is the specialty of Specs, PA?

Specs, PA is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in ME under license number 760.

Where does Specs, PA practice?

The practice location is 195 Roosevelt Trail, South Casco, ME 04077. The office can be reached at 207-655-2020 (phone) or 207-655-7770 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265754519 directly on the NPPES registry website.

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