NPI 1629094313 · live from the CMS NPI Registry
Robert J Bolduc, O.D.
Optometrist, Corneal and Contact Management in Biddeford, ME. National Provider Identifier 1629094313, active.
NPI record
| NPI | 1629094313 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist, Corneal and Contact Management 152WC0802X |
| Practice location | 311 Alfred St, Biddeford, ME 04005 |
| Practice phone | 207-284-6651 |
| Enumerated | July 14, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist, Corneal and Contact Management primary | 152WC0802X | 660T (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.