David Thomas Douglass in Bangor - Optometrist
David Thomas Douglass - NPI 1417949678
David Thomas Douglass is a Optometrist in Bangor, Maine. David Thomas Douglass practices all healthcare services and medical treatments related to Optometrist. The NPI Number for David Thomas Douglass is 1417949678. The last update date is 2014-12-29.
David Thomas Douglass's current location address is 955 Broadway, Bangor, Maine. You can contact this provider via phone number 2079904388 and fax number 2079479241. The mailing address for David Thomas Douglass is 955 Broadway, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Thomas Douglass |
|---|---|
| Address | 955 Broadway, Bangor, Maine |
| Phone Number | 2079904388 |
| Fax Number | 2079479241 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1417949678 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2014-12-29 |
Provider Mailing Address Detail
| Address | 955 Broadway |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44012918 |
| Phone Number | 2079904388 |
| Fax Number | 2079479241 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT757 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 243540099 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David Thomas Douglass by the Centers for Medicare & Medicaid Services (CMS)?
The David Thomas Douglass has been assigned the NPI (National Provider Identifier) 1417949678. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of David Thomas Douglass?
The David Thomas Douglass is situated at 955 Broadway, in the city of Bangor, state of ME, with the zip code 44012918.
What is David Thomas Douglass's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for David Thomas Douglass is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the David Thomas Douglass receive its 1417949678 assignment from the Centers for Medicare & Medicaid Services?
The David Thomas Douglass was assigned its 1417949678 by the Centers for Medicare & Medicaid Services on 2005-08-15.
As of what date were the details related to David Thomas Douglass most recently updated or revised?
The information pertaining to David Thomas Douglass, including its address, specialty, and other relevant details, was last updated or revised on 2014-12-29.