Dr Alan J Mathieu P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT724 Issued in ME

Legal business name

DR ALAN J MATHIEU P.A.

Practice address

347 Main St
Ste D
Gorham, ME 04038-1338

Phone

(207) 839-2638

Fax

(207) 839-4204

NPI assigned

Oct 17, 2006

Last updated

Oct 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alan J Mathieu, O.D.NPI 1457367419

Title

President

Phone

(207) 839-2638

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan Joseph Mathieu, O.D.

  • Optometrist
  • Gorham, ME
  • NPI 1457367419
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1831279553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MAIN ST",
            "address_2": "STE D",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381338",
            "telephone_number": "207-839-2638",
            "fax_number": "207-839-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MAIN ST",
            "address_2": "STE D",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381338",
            "telephone_number": "207-839-2638",
            "fax_number": "207-839-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALAN J MATHIEU P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "MATHIEU",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-839-2638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1041364",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRAM",
            "identifier": "MT048",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116900000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M851",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "003725",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendi Dolloff, MT
• Kaylin Jade Dore, OTR/L
• Shannon P Dowdle, MS CCCA
• Cynthia Doyle
• Courtney Doyon, DPT
• Dragonfly Wellness Studio LLC
• Sabrina Duong
• Gretchen Edgecomb
• Eric James Egdorf, OTR/L
• Christopher Michael Eidson, DPT

• Optometrist in Gorham, ME
• Providers in Gorham, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.