Roger R Gagnon in South Portland - Optometrist
Roger R Gagnon - NPI 1124128913
Roger R Gagnon is a Optometrist in South Portland, Maine. Roger R Gagnon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Roger R Gagnon is 1124128913. The last update date is 2010-01-26.
Roger R Gagnon's current location address is 510 Mainemall Road, South Portland, Maine. You can contact this provider via phone number 2077752030 and fax number 2077750755. The mailing address for Roger R Gagnon is 510 Mainemall Road, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger R Gagnon |
|---|---|
| Address | 510 Mainemall Road, South Portland, Maine |
| Phone Number | 2077752030 |
| Fax Number | 2077750755 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1124128913 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2010-01-26 |
Provider Mailing Address Detail
| Address | 510 Mainemall Road |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 4106 |
| Phone Number | 2077752030 |
| Fax Number | 2077750755 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT740 |
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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 |
|---|---|---|---|
| 121300099 | ME | -- |
Post Comment/ Review Below
What is the Roger R Gagnon's unique identification number?
The Roger R Gagnon has been assigned the NPI (National Provider Identifier) Number 1124128913 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Roger R Gagnon located?
The Roger R Gagnon is located at 510 Mainemall Road, South Portland, ME 4106.
What is Roger R Gagnon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Roger R Gagnon is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
When was the Roger R Gagnon's 1124128913 issued?
The Roger R Gagnon's 1124128913 was issued on 2006-09-22.
When was the information regarding Roger R Gagnon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Roger R Gagnon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-01-26.