NPI 1366013740 · live from the CMS NPI Registry
Noah Boutin, OD
Optometrist in Sanford, ME. National Provider Identifier 1366013740, active.
NPI record
| NPI | 1366013740 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 272 Cottage St, Sanford, ME 04073 |
| Practice phone | 207-324-8888 |
| Enumerated | July 7, 2021 |
| Last updated | June 27, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT1046 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.