Poulin Optician Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

POULIN OPTICIAN INC

Practice address

117 Main St
Waterville, ME 04901-6621

Phone

(207) 872-6311

Fax

(207) 872-6311

NPI assigned

Oct 27, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Robert J Michaud

Title

Owner

Phone

(207) 872-6311

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1780910687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MAIN ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016621",
            "telephone_number": "207-872-6311",
            "fax_number": "207-872-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MAIN ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016621",
            "telephone_number": "207-872-6311",
            "fax_number": "207-872-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POULIN OPTICIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-872-6311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112880000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Popelka, MS ATC
• Trixie Lee Porter, LMSW-CC
• Elizabeth Pierce Potter
• Thomas Riley Potter, MD
• Poulin & Associates Eye Center
• Alex Poulin
• Philip Ralph Poulin, O.D.
• Prestige Care Group
• Helen T Price-Wharff, FNP
• Nancy L. Priest, LCPC

• Optician in Waterville, ME
• Providers in Waterville, ME by specialty
• Optician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.