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OPTOMETRIC ASSOCIATES PA NPI 1205038544


NPI Information

NPI: 1205038544
Provider Name: OPTOMETRIC ASSOCIATES PA
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 20D2104479

Address:
168 EAST AVE
LEWISTON, ME
ZIP 04240
Phone: (207) 784-3564
Get Directions

OPTOMETRIC ASSOCIATES PA is an optometrist in Lewiston, 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. OPTOMETRIC ASSOCIATES PA NPI is 1205038544. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

168 EAST AVE
LEWISTON, ME
ZIP 04240-626
Phone: (207) 784-3564
Fax: (207) 782-2541

The provider's authorized official is Linda S. Boudreau .
The authorized official title is Office Manager and has the following contact phone number (207) 784-3564.

The CLIA number assigned to this NPI record is 20D2104479 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 1/3/2011.


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
1152WL0500XOptometristLow Vision RehabilitationMAINENo
2152W00000XOptometristMAINEYes

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
10324520001MEDICARE NSCMAINE

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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