DR. CHARLES M. PLOURDE O.D. NPI 1619028115

NPI Information

  • NPI: 1619028115
  • Provider Name: DR. CHARLES M. PLOURDE, O.D.
  • Classification: Optometrist - 152WL0500X
  • Specialization: Low Vision Rehabilitation
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 67 MAIN ST
    VAN BUREN, ME
    ZIP 04785
  • Phone: (207) 868-3341

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NPI Details

DR. Charles M. Plourde, O.D. is a low vision rehabilitation optometrist in Van Buren, ME. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. DR. Charles M. Plourde, O.D. NPI is 1619028115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

67 MAIN ST
VAN BUREN, ME
ZIP 04785-028
Phone: (207) 868-3341
Fax: (207) 868-3441

The NPI 1619028115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Established patient complete exam of visual system (HCPCS:92014)
  • New patient problem focused exam of visual system (HCPCS:92002)
  • New patient complete exam of visual system (HCPCS:92004)

The enumeration date for this NPI number is 1/13/2007 and was last updated on 1/11/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristOPT656MAINENo
2152WL0500XOptometristLow Vision RehabilitationOPT656MAINEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1111810000MEDICAIDMAINE

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: 3/30/2025

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