NPI 1104824747 · live from the CMS NPI Registry
Peter A Beauboeuf, O.D.
Optometrist in Topsham, ME. National Provider Identifier 1104824747, active.
NPI record
| NPI | 1104824747 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 15 Winners Cir, Suite 2, Topsham, ME 04086 |
| Practice phone | 207-406-4635 |
| Enumerated | July 8, 2005 |
| Last updated | May 10, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT879 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.