DR. CHARLES M. PLOURDE (NPI# 1619028115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619028115 |
| Entity Type | Individual |
| Full Name | DR. CHARLES M. PLOURDE |
| Credential | O.D. |
| Practice Address |
67 Main St Van Buren ME 04785-1028 |
| Mailing Address |
67 Main St P.o. Box 300 Van Buren ME 04785-1028 |
| Practice Telephone | 2078683341 |
| Practice Fax Number | 2078683441 |
| Mailing Telephone | 2078683341 |
| Mailing Fax Number | 2078683441 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2019-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OPT656 | ME | Eye and Vision Services Providers |
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
OPT656 | ME | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 111810000 | 05 |
| Street Address |
67 MAIN ST |
| City | VAN BUREN |
| State | ME |
| Zip Code | 04785-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093992760 | Charles M. Plourde | Optometrist | 67 Main St, Van Buren, ME 04785-1028 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679944490 | Kristin Theriault | Social Worker | 358 Hamlin Rd, Hamlin, ME 04785 | 2015-10-20 |
| 1508188517 | Myles Peter Ouellette | Massage Therapist | 204 Champlain St, Van Buren, ME 04785 | 2010-02-17 |
| 1336380443 | Ouellette Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 State Street, Van Buren, ME 04785 | 2009-03-19 |
| 1114168945 | St Jude's Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 123 Wright Street, Von Buren, ME 04785 | 2009-03-06 |
| 1184852022 | Bernadette Fortin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 144 High St, Van Buren, ME 04785 | 2009-06-30 |
| 1245754209 | Walgreen Co | Pharmacy | 21 Main St, Van Buren, ME 04785-1008 | 2017-08-01 |
| 1760761134 | Katie Daigle | Pharmacist | 21 Main St, Van Buren, ME 04785-1008 | 2011-08-16 |
| 1174814396 | Marion Brett Felty | Pharmacist | 21 Main St, Van Buren, ME 04785-1008 | 2011-04-21 |
| 1851462931 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 21 Main Street, Van Buren, ME 04785-1008 | 2006-11-13 |
| 1366051666 | Lindsey Desrosier | Nurse Practitioner | 4 Main St, Van Buren, ME 04785-1009 | 2020-07-23 |
| Find all providers in zip 04785 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| 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. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093992760 | Charles M. Plourde | Optometrist | 67 Main St, Van Buren, ME 04785-1028 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073904868 | Robinson Center for Neuro-visual Rehabilitation | Optometrist | 584 Roosevelt Trl, Suite B, Windham, ME 04062-7302 | 2015-02-15 |
| 1205038544 | Optometric Associates Pa | Optometrist | 168 East Ave, Lewiston, ME 04240-5626 | 2007-05-31 |
| 1548273147 | The Iris Network | Optometrist | 189 Park Ave, Portland, ME 04102-2909 | 2006-08-14 |
Please comment or provide details below to improve the information on DR. CHARLES M. PLOURDE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.