NPI 1104956143 · live from the CMS NPI Registry
Douglas Kent Gauvreau, O.D.
Optometrist, Corneal and Contact Management in Westbrook, ME. National Provider Identifier 1104956143, active.
NPI record
| NPI | 1104956143 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist, Corneal and Contact Management 152WC0802X |
| Practice location | 151 Main St, Westbrook, ME 04092 |
| Practice phone | 207-854-1801 |
| Enumerated | March 7, 2007 |
| Last updated | July 23, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist, Corneal and Contact Management primary | 152WC0802X | OPT554 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.