NPI 1679600258 · live from the CMS NPI Registry
Donald Rene Carbonneau, od
Optometrist in Augusta, ME. National Provider Identifier 1679600258, active.
NPI record
| NPI | 1679600258 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 313 Water St, Augusta, ME 04330 |
| Practice phone | 207-623-8622 |
| Enumerated | February 28, 2007 |
| Last updated | February 27, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | opt732 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.