Active NPIIndividual provider

Tabetha L Ganzel, OD

Optometrist in Dover Foxcroft, Maine

NPI Number1356184758
Practice location
188 Summer St, Dover Foxcroft, ME 04426-1129
Fax
—
Last updated
June 14, 2024

Tabetha Leanne Ganzel is an Optometrist based in Dover Foxcroft, ME. Tabetha Leanne Ganzel practices in Dover Foxcroft, ME and has the professional credentials of OD. The NPI Number for Tabetha Leanne Ganzel is 1356184758 and holds a License No. OPT1087 (ME). The current practice location address for Tabetha Leanne Ganzel is 188 Summer St, Dover Foxcroft, ME 04426-1129 and can be reached out via phone at 207-564-0372.

Provider Profile Details

NPI Number
1356184758
Provider Name
Tabetha Leanne Ganzel
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
188 Summer St, Dover Foxcroft, ME 04426-1129
Phone Number
207-564-0372
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2024
Last Update Date
June 14, 2024
Certification Date
May 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
188 Summer St
Dover Foxcroft, ME 04426-1129
State
Maine
Zip
04426-1129
Phone Number
207-564-0372
Dover Foxcroft, ME 04426Get directions →

Provider Business Mailing Address Details

Address
354 Drews Mills RD
Linneus, ME 04730-4515
City
Linneus
State
ME
Zip
04730-4515
Phone Number
207-694-2405

License Information

License Number
OPT1087
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 Tabetha L Ganzel, OD?

The NPI number of Tabetha L Ganzel, OD is 1356184758. It was assigned on June 14, 2024 and is currently active in the NPPES registry.

What is the specialty of Tabetha L Ganzel, OD?

Tabetha L Ganzel, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in ME under license number OPT1087.

Where does Tabetha L Ganzel, OD practice?

The practice location is 188 Summer St, Dover Foxcroft, ME 04426-1129. The office can be reached at 207-564-0372 (phone).

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 1356184758 directly on the NPPES registry website.

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