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POULIN & ASSOCIATES EYE CENTER NPI 1336243963


NPI Information

NPI: 1336243963
Provider Name: POULIN & ASSOCIATES EYE CENTER
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 20D2163258

Address:
166 SILVER ST
WATERVILLE, ME
ZIP 04901
Phone: (207) 873-3500
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POULIN & ASSOCIATES EYE CENTER is an optometrist in Waterville, ME. The provider is 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. POULIN & ASSOCIATES EYE CENTER NPI is 1336243963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

166 SILVER ST
WATERVILLE, ME
ZIP 04901-815
Phone: (207) 873-3500
Fax: (207) 873-6167

The provider's authorized official is Philip R Poulin .
The authorized official title is Owner and has the following contact phone number (207) 873-3500.

The CLIA number assigned to this NPI record is 20D2163258 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 11/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOPT712MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15056450001MEDICARE NSCMAINE
2U75762MEDICARE UPINMAINE
3DB6080OTHERMAINERAILROAD MEDICARE
4ME0706MEDICARE ID-TYPE UNSPECIFIEDMAINE
5403780000MEDICAIDMAINE
6MNT901OTHERHARVARD PILGRIM
7T31699MEDICARE UPINMAINE
8M23104OTHERMAINECIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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