DR. PETER EBBERT HALL


Address: 1040 Brighton Ave, Cornerbrook Plaza Eyecare/portland Eyecare, Portland, ME 04102-1030
Phone: 2072535333

DR. PETER EBBERT HALL (NPI# 1972562734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972562734
Entity Type Individual
Full Name DR. PETER EBBERT HALL
Credential D.V.M ., O.D.
Practice Address 1040 Brighton Ave
Cornerbrook Plaza Eyecare/portland Eyecare
Portland
ME 04102-1030
Mailing Address 18 Justamere Rd
Falmouth
ME 04105-1912
Practice Telephone 2072535333
Practice Fax Number 2072535332
Mailing Telephone 2074200431
Mailing Fax Number 2072535332
Enumeration Date 2006-03-21
Last Update Date 2014-01-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist ME OPT860 ME Eye and Vision Services Providers

Other Providers PETER HALL

NPI Name Taxonomy Address Enumeration
1669947172 Peter D Hall Social Worker 1010 Dulaney Valley Rd, Towson, MD 21204-2702 2018-10-11
1669660395 Peter C. A. Hall Physician Assistant 1959 Ne Pacific St, Seattle, WA 98195-0001 2007-10-09

Office Location

Street Address 1040 BRIGHTON AVE
CORNERBROOK PLAZA EYECARE/PORTLAND EYECARE
City PORTLAND
State ME
Zip Code 04102-1030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639469000 Cornerbrook Plaza Eye Care P A Optometrist 1040 Brighton Ave, Portland, ME 04102 2011-04-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
Find all providers in zip 04102

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376162008 Eyestrong, LLC Optometrist 3934 Ne Mlk Jr Blvd Ste 101, Portland, OR 97212-1153 2020-04-13
1740816768 Allison Kuo Optometrist 3710 Sw Us Veterans Hospital Rd Bldg 1008c140, Portland, OR 97239-2964 2020-03-21
1689235160 Maja Krsmanovic Optometrist 14 Buca Run, Portland, ME 04103-1427 2019-06-25
1407416225 Sarah Fowler Optometrist 605 S Broadway St, Portland, TN 37148-1619 2019-06-14
1720645302 Ryan Steve Kucala Optometrist 520 Nw Lost Springs Ter # Unite203, Portland, OR 97229-6655 2019-05-20
1023575925 Pacific Eye Group, PC Optometrist 1006 Lloyd Ctr, Portland, OR 97232-1266 2019-02-27
1811472749 Carole Tong Optometrist 8136 Se Foster Rd Ste 260, Portland, OR 97206-4288 2018-09-26
1528580354 Dr. Han Tran & Associates, P.C. Optometrist 12100 Se 82nd Ave, Portland, OR 97086-7755 2017-07-13
1306384128 Daniel & Max, LLC Optometrist 8795 Sw Scholls Ferry Rd, Portland, OR 97223-4409 2017-02-01
1730623687 Christina Grace Belter Optometrist 300 N Graham St Ste 300, Portland, OR 97227 2016-12-12
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 04102

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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