Active NPI
Robert J. Bolduc, Optometrist, P.a.
- Corneal and Contact Management Optometrist
- Biddeford, ME
National Provider Identifier
1710231220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- Legal business name
- ROBERT J. BOLDUC, OPTOMETRIST, P.A.
- Practice address
- 35 Barra Rd
Biddeford, ME 04005-3127 - Phone
- (207) 284-6651
- Fax
- (207) 286-9579
- NPI assigned
- Nov 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Bolduc Jr., O.D.
- Title
- Optometrist
- Phone
- (207) 284-6651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | Primary |
Addresses
Primary practice location
35 Barra Rd
Biddeford, ME 04005-3127
Mailing address
35 Barra Road
Biddeford, ME 04005-3127
Phone (207) 284-6651
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423526400000",
"number": "1710231220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 BARRA ROAD",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040053127",
"telephone_number": "207-284-6651",
"fax_number": "207-286-9579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 BARRA RD",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040053127",
"telephone_number": "207-284-6651",
"fax_number": "207-286-9579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J. BOLDUC, OPTOMETRIST, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-06",
"last_updated": "2015-02-10",
"status": "A",
"authorized_official_last_name": "BOLDUC",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "207-284-6651",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.