RETINA CENTER OF MAINE, LLC PA
NPI 1801077128
Ophthalmology - Retina Specialist in Portland, ME

Active since November 15, 2007
195 FORE RIVER PKWY STE 480, PORTLAND, ME 04102(207) 773-3937(207) 773-0801 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2017, Dec 21, 2015 (2 updates tracked since 2015).

About Retina Center Of Maine, Llc Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RETINA CENTER OF MAINE, LLC PA (NPI 1801077128) is a healthcare organization registered as a retina specialist in Portland, Maine and active in the NPI registry since November 2007. The organization lists Mark Wilson Balles, Md / Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1801077128
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA CENTER OF MAINE, LLC PA
Location Address195 FORE RIVER PKWY STE 480Portland, ME 04102-2787
Mailing Address195 Fore River Pkwy Ste 480Portland, ME 04102-2787 · (207) 773-3937 · Fax (207) 773-0801
Fax(207) 773-0801
Organization SubpartNo
Authorized OfficialMark Wilson BallesMd / Practice Owner · (207) 773-3937
Enumeration DateNovember 15, 2007
Last NPPES UpdateApril 18, 20172 updates tracked since enumeration
NPI 1801077128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in ME · MD14047
Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

195 FORE RIVER PKWY STE 480, Portland, ME 04102

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
195 FORE RIVER PKWY STE 480
PORTLAND, ME 04102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Retina Center Of Maine, LLC PA's NPI number?

The NPI number for Retina Center Of Maine, LLC PA is 1801077128. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Retina Center Of Maine, LLC PA located?

Retina Center Of Maine, LLC PA is located at 195 Fore River Pkwy Ste 480, Portland, ME 04102. The listed phone number is (207) 773-3937.

What is Retina Center Of Maine, LLC PA's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

When was this NPI record last updated?

The NPPES record for Retina Center Of Maine, LLC PA was last updated on April 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.