Robert J Bolduc Jr., O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

660T Issued in ME

Practice address

311 Alfred St
Biddeford, ME 04005-3127

Phone

(207) 284-6651

NPI assigned

Jul 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert J. Bolduc, Optometrist, P.a.

  • Corneal and Contact Management Optometrist
  • Biddeford, ME
  • NPI 1710231220
  Authorized official Same address or phone

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629094313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053127",
            "telephone_number": "207-284-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053127",
            "telephone_number": "207-284-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDUC",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ME",
            "license": "660T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Patrick Blomberg, D.O.
• Blue Star Homecare LLC
• Sarah Browning Bohan, LMT
• Suzanne Bagin Bohlmann, PA-C
• Louise I. Boisvert, LMSW-CC
• Rebecca J Booth, NP
• Margaret A Bordeau, D.O.
• Suzanne Botana, PH.D.
• Lisa Bouchard, LMT, LAC
• Kristina Boucher, NBHWC, FMCA

• Corneal and Contact Management Optometrist in Biddeford, ME
• Providers in Biddeford, 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 8, 2007; 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.