Cornerbrook Plaza Eye Care P a

NPI #1639469000 in Portland, Maine

Provider Information

NPI Number: 1639469000
Entity Type: Organization
Organization Name: Cornerbrook Plaza Eye Care P a
Primary Specialty: Optometrist
Enumeration Date: Apr 19, 2011
Last Updated: May 20, 2011

Practice Location

Address: 1040 BRIGHTON AVE
City: Portland
State: Maine
ZIP Code: 04102
Phone: (207) 253-5333

Authorized Official

Name: DR. PETER EBBERT HALL, O.D.
Title: PRESIDENT
Phone: (207) 253-5333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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