Provider Demographics
NPI:1427157007
Name:CHAMBERLAND & COTE EYE CARE, P.A., LLC
Entity type:Organization
Organization Name:CHAMBERLAND & COTE EYE CARE, P.A., LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTICING OD
Authorized Official - Prefix:DR
Authorized Official - First Name:PARISE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHAMBERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:207-783-8243
Mailing Address - Street 1:633 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-5938
Mailing Address - Country:US
Mailing Address - Phone:207-783-8243
Mailing Address - Fax:207-783-0021
Practice Address - Street 1:633 MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-5938
Practice Address - Country:US
Practice Address - Phone:207-783-8243
Practice Address - Fax:207-783-0021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MED0160AOtherANTHEM BCBS
ME125060000Medicaid
MEDEME1532Medicare PIN
MED0160AOtherANTHEM BCBS