Henry, Douglas J.
Henry, Douglas J. is an individual health care provider with primary practice located at 168 East Ave , Lewiston ME 04240-5626. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Henry, Douglas J. can be contacted via phone (207) 784-3564.Contact Information
Primary practice address
168 East Ave
Lewiston ME 04240-5626
Phone: (207) 784-3564
Fax: (207) 782-2541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT833 | Maine |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPT833 | Maine |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | OPT833 | Maine |
Profile Details
| NPI number | 1750377958 |
|---|---|
| LBN Legal business name | Henry, Douglas J. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jan 4th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750377958 | NPPES |
| Maine | Other | 0324520001 | DME |
| Maine | Other | 025957 | DME |
| Maine | MEDICAID | 322020099 | DME |
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