Provider Demographics
NPI:1518363522
Name:PRECISION EYE CARE PA
Entity type:Organization
Organization Name:PRECISION EYE CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PHILBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:207-521-5233
Mailing Address - Street 1:29 MILITARY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOULTON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-1713
Mailing Address - Country:US
Mailing Address - Phone:207-521-5233
Mailing Address - Fax:207-512-4501
Practice Address - Street 1:29 MILITARY ST
Practice Address - Street 2:SUITE B
Practice Address - City:HOULTON
Practice Address - State:ME
Practice Address - Zip Code:04730-1713
Practice Address - Country:US
Practice Address - Phone:207-521-5233
Practice Address - Fax:207-512-4501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT890152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty