Douglas Kent Gauvreau, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPT554 Issued in ME

Practice address

151 Main St
Westbrook, ME 04092-4808

Phone

(207) 854-1801

Fax

(207) 854-0260

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1104956143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924808",
            "telephone_number": "207-854-1801",
            "fax_number": "207-854-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924808",
            "telephone_number": "207-854-1801",
            "fax_number": "207-854-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUVREAU",
        "first_name": "DOUGLAS",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ME",
            "license": "OPT554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "0468580001",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410032606",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107830099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS",
            "identifier": "000378",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianna Stade Gagnon, MD
• June Linden Gagnon, M.A.
• Michelle Gallagher
• Katie Garrity, LCSW
• Kayla Garvey, PHARMD, RPH
• Susan Elizaeth Gay, R.D.
• Vicki Lynn Gayton, L.C.S.W.
• Catelin Geiser, FNP
• William A. Gelinas, PA-C
• Noel J Genova, PA-C

• Corneal and Contact Management Optometrist in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Corneal and Contact Management Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.