DRS. Dutch & Marnecheck,LLC
Organization Active NPI Optometrist · Belfast, ME
NPI 1073609129 · NPPES record last updated Jul 9, 2008
Key facts
- NPI
- 1073609129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT576 (ME)
- Legal business name
- DRS. DUTCH & MARNECHECK,LLC
- Practice address
- 94 High St
Belfast, ME 04915-6344 - Phone
- (207) 338-1480
- Fax
- (207) 338-1498
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Barbara J Cunningham
- Title
- Staff Manager
- Phone
- (207) 338-1480
Practitioners 2
-
Kenneth John Wich, O.D.
National Provider Directory
Locations
94 High St
Belfast, ME 04915
Phone (207) 338-1480
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPT576 | ME | Yes |
| Optometrist |
152W00000X | OPT795 | ME |
Addresses
Primary practice location
94 High St
Belfast, ME 04915-6344
Mailing address
94 High St
Belfast, ME 04915-6344
Phone (207) 338-1480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134610000 | Medicaid | ME | |
| MM7987 | Other | ME | PTAN# |
| P00313443 | Other | ME | RMEDICARE |
Other names
- Drs. Dutch & Marnecheck, LLC
Other providers in Belfast, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.