Elaine P. Bourdeau in Lansdowne - Optometrist
Elaine P. Bourdeau - NPI 1164503876
Elaine P. Bourdeau is a Optometrist in Lansdowne, Virginia. Elaine P. Bourdeau practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Elaine P. Bourdeau is 1164503876. The last update date is 2016-11-04.
Elaine P. Bourdeau's current location address is 19441 Golf Vista Plz, Lansdowne, Virginia. You can contact this provider via phone number 7038589800 and fax number 7038589801. The mailing address for Elaine P. Bourdeau is 19441 Golf Vista Plz, Lansdowne, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine P. Bourdeau |
|---|---|
| Address | 19441 Golf Vista Plz, Lansdowne, Virginia |
| Phone Number | 7038589800 |
| Fax Number | 7038589801 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1164503876 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2016-11-04 |
Provider Mailing Address Detail
| Address | 19441 Golf Vista Plz |
|---|---|
| City | Lansdowne |
| State | Virginia (VA) |
| Post Code | 201768269 |
| Phone Number | 7038589800 |
| Fax Number | 7038589801 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 0618-000960 |
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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 |
|---|---|---|---|
| 3461033-03 | MD | -- | |
| 9235981 | VA | -- | |
| 3461033-01 | MD | -- | |
| 119170 | VA | ANTHEM BCBS/HEALTHKEEPERS | |
| 9235973 | VA | -- | |
| 119168 | VA | ANTHEM BCBS/HEALTHKEEPERS | |
| 119169 | VA | ANTHEM BCBS/HEALTHKEEPERS | |
| 9235957 | VA | -- | |
| 3461033-2 | MD | -- | |
| 9235990 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Elaine P. Bourdeau by the Centers for Medicare & Medicaid Services?
The Elaine P. Bourdeau has been assigned the NPI (National Provider Identifier) 1164503876 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Elaine P. Bourdeau's facilities are geographically located?
The facilities of Elaine P. Bourdeau are physically situated at the following location: 19441 Golf Vista Plz, Lansdowne, VA, 201768269.
What is Elaine P. Bourdeau's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elaine P. Bourdeau is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
When did the Elaine P. Bourdeau receive its 1164503876?
The Elaine P. Bourdeau was issued its 1164503876 on 2006-10-18, which is the date when the organization was assigned this unique identifier.
As of what date were the Elaine P. Bourdeau's details last updated?
The information pertaining to the Elaine P. Bourdeau, including its address, specialty, and other details, was most recently updated on 2016-11-04.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC