Organization Active NPI

Robert J. Bolduc, Optometrist, P.a.

  • Corneal and Contact Management Optometrist
  • Biddeford, ME
National Provider Identifier
1710231220
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
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

Updated by the provider on Feb 10, 2015

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)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.