DR. ROBERT J BOLDUC JR. (NPI# 1629094313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629094313 |
| Entity Type | Individual |
| Full Name | DR. ROBERT J BOLDUC JR. |
| Credential | O.D. |
| Practice Address |
311 Alfred St Biddeford ME 04005-3127 |
| Practice Telephone | 2072846651 |
| Mailing Telephone | 2072846651 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
660T | ME | Eye and Vision Services Providers |
| Street Address |
311 ALFRED ST |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932678257 | Kara Lyn Welsh | Massage Therapist | 311 Alfred St, Biddeford, ME 04005-3127 | 2018-11-15 |
| 1265901797 | Stephanie Lynn Laverriere | Massage Therapist | 311 Alfred St, Biddeford, ME 04005-3127 | 2018-11-14 |
| 1376890822 | Eric Shane Lehouillier | Optometrist | 311 Alfred St, Biddeford, ME 04005-3127 | 2012-08-14 |
| 1346425741 | Robert J. Bolduc, Optometrist, P.a. | Durable Medical Equipment & Medical Supplies | 311 Alfred St, Biddeford, ME 04005-3127 | 2008-01-03 |
| 1083816870 | Lisa Bouchard | Acupuncturist | 311 Alfred St, Biddeford, ME 04005-3127 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| Find all providers in zip 04005 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710231220 | Robert J. Bolduc, Optometrist, P.a. | Optometrist | 35 Barra Rd, Biddeford, ME 04005-3127 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297073 | South Paris Eyecare, P.a. | Optometrist | 177 Main St Ste B, South Paris, ME 04281-1621 | 2019-10-25 |
| 1588625602 | Howard A Sleeper | Optometrist | 5 Monument Square Ln, Dover Foxcroft, ME 04426 | 2006-03-29 |
| 1235132614 | Philip Ralph Poulin | Optometrist | 166 Silver St, Waterville, ME 04901-5815 | 2005-05-31 |
| 1306406525 | Catherine A Gallagher | Optometrist | 331 Maine St Ste 1, Brunswick, ME 04011-3359 | 2019-06-19 |
| 1891905493 | Craig K. Small O.d. Family Eye Care | Optometrist | 37 Herschel St, Caribou, ME 04736-2426 | 2007-05-23 |
| 1104956143 | Douglas Kent Gauvreau | Optometrist | 151 Main St, Westbrook, ME 04092-4808 | 2007-03-07 |
| 1346320074 | Nicole C Shipp | Optometrist | 331 Maine St., Suite 1, Brunswick, ME 04011-3359 | 2006-10-17 |
| 1881649671 | Jones Eye Associates, Pa | Optometrist | 419 Moosehead Trl, Newport, ME 04953-4054 | 2006-05-23 |
| 1720044878 | Maine Eye Center, Pa | Optometrist | 15 Lowell St, Portland, ME 04102-2776 | 2006-04-25 |
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| 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.