NPI 1831171206 · live from the CMS NPI Registry
John A Dubois, OD
Optometrist in Cornish, ME. National Provider Identifier 1831171206, active.
NPI record
| NPI | 1831171206 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 91 Maple St, Cornish, ME 04020 |
| Practice phone | 207-625-3700 |
| Mailing address | Po Box 18, Cornish, ME 04020 |
| Enumerated | November 18, 2005 |
| Last updated | April 25, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 836TA (ME) |
| Optometrist | 152W00000X | 0698 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.