OrganizationActive
Northeast Retina Associates, PA
NPI 1124005590 · Ophthalmology Physician · Sanford, ME
Provider details
- NPI number
- 1124005590
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Brearey, Ophthalmic Manager(207) 324-3380
- License
- 9375 (NH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
272 Cottage St
Sanford, ME 04073-1815
Phone: (207) 324-3380
Fax: (207) 636-5023
Approximate (ZIP-level) locationGet directions
Mailing address
272 Cottage St
Sanford, ME 04073-1815
Registry dates
- Enumerated
- 2005-12-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.