PHILIP R. POULIN O.D. NPI 1134397557

NPI Information

PHILIP R. POULIN, O.D. is a point of service in Portland, ME. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. PHILIP R. POULIN, O.D. NPI is 1134397557. The provider is registered as an organization entity type.
The provider Is Doing Business As Optical Expressions.

The provider's business location address is:

87 EXCHANGE ST
PORTLAND, ME
ZIP 04101-001
Phone: (207) 871-7553

The provider's authorized official is Trudy M Poulin .
The authorized official title is Manager and has the following contact phone number (207) 871-7553.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 2/19/2008.

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:

Other Identifiers

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

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