Organization Name: | CHARLES M. PLOURDE |
NPI Number: | 1093992760 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES M. PLOURDE (OWNER) |
Mailing Address: | 67 Main St Van Buren |
State: | ME US |
Postal Code: | 047851028 |
Phone Number: | 2078683341 |
Fax Number: | 2078683441 |
NPI Enumeration Date: | 01/24/2008 |
NPI Last Update Date: | 01/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WL0500X |
License Number: | 0656 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Low Vision Rehabilitation |
Taxonomy Definition: | Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |