Provider Demographics
NPI:1992991061
Name:ATLEE, CHRISTOPHER YORKE (OPTICIAN)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:YORKE
Last Name:ATLEE
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-5951
Mailing Address - Country:US
Mailing Address - Phone:207-623-4523
Mailing Address - Fax:207-622-5697
Practice Address - Street 1:227 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5951
Practice Address - Country:US
Practice Address - Phone:207-623-4523
Practice Address - Fax:207-622-5697
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME163252156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME5678800001Medicare NSC