Provider Demographics
NPI:1215334248
Name:EYECARE TODAY, PA
Entity type:Organization
Organization Name:EYECARE TODAY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:III
Authorized Official - Credentials:OD
Authorized Official - Phone:207-773-3232
Mailing Address - Street 1:449 FOREST AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-2008
Mailing Address - Country:US
Mailing Address - Phone:207-773-3232
Mailing Address - Fax:207-773-3240
Practice Address - Street 1:449 FOREST AVE STE 8
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-2008
Practice Address - Country:US
Practice Address - Phone:207-773-3232
Practice Address - Fax:207-773-3240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT580152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty