Provider Demographics
NPI:1316831217
Name:FITZPATRICK, ERIKA LEE (OD)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:LEE
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 DIRIGO DR
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1600
Mailing Address - Country:US
Mailing Address - Phone:207-942-2015
Mailing Address - Fax:
Practice Address - Street 1:29 DIRIGO DR
Practice Address - Street 2:
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-1600
Practice Address - Country:US
Practice Address - Phone:207-942-2015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT1098152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist