Dale Rodrigue Eyecare Center, Inc

LBN: Dale Rodrigue Eyecare Center, Inc
Dale Rodrigue Eyecare Center, Inc is an health care organization with primary practice located at 58 State St , Augusta ME 04330-5124. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dale Rodrigue Eyecare Center, Inc can be contacted via phone (207) 623-5099, or through Rodrigue, Dale L via phone (207) 623-5099.

Contact Information

Primary practice address
58 State St Augusta ME 04330-5124
Phone: (207) 623-5099
Fax: (207) 623-7124
Website:
Map and Directions
Authorized official contact:
Name: Rodrigue, Dale L Doctor of Optometry (OD)
Phone: (207) 623-5099

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT690 Maine

Profile Details

NPI number 1841587656
LBN Legal business name Dale Rodrigue Eyecare Center, Inc
DBA Doing business as
Authorized official Rodrigue, Dale L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2011
Last updated Jul 8th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841587656 NPPES
Maine MEDICAID 114510000

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