NPI 1831279553 · live from the CMS NPI Registry
Dr Alan J Mathieu P.A.
Optometrist in Gorham, ME. National Provider Identifier 1831279553, active.
NPI record
| NPI | 1831279553 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 347 Main St, Ste D, Gorham, ME 04038 |
| Practice phone | 207-839-2638 |
| Enumerated | October 17, 2006 |
| Last updated | October 1, 2008 |
| Authorized official | Alan Mathieu, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT724 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.