Dale Rodrigue Eyecare Center, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT690 Issued in ME

Legal business name

DALE RODRIGUE EYECARE CENTER, INC

Practice address

58 State St
Augusta, ME 04330-5124

Phone

(207) 623-5099

Fax

(207) 623-7124

NPI assigned

Jun 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dale L Rodrigue, O.DNPI 1427164045

Title

Owner

Phone

(207) 623-5099

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dale L Rodrigue, OD

  • Optometrist
  • Augusta, ME
  • NPI 1427164045
  Medicare reassignment Care Compare group NPD Authorized official
• Troy Michael Avery, O.D.

  • Optometrist
  • Lewiston, ME
  • NPI 1497857429
  Medicare reassignment Care Compare group NPD
• Alexandra Grotton

  • Optometrist
  • Augusta, ME
  • NPI 1447600986
  Medicare reassignment NPD
• Leah D Grotton, O.D

  • Optometrist
  • Augusta, ME
  • NPI 1316386840
  Medicare reassignment NPD
• Hannah Michaella Mishler, OD

  • Optometrist
  • Damariscotta, ME
  • NPI 1154936920
  Medicare reassignment NPD

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1841587656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 STATE ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305124",
            "telephone_number": "207-623-5099",
            "fax_number": "207-623-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 STATE ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305124",
            "telephone_number": "207-623-5099",
            "fax_number": "207-623-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE RODRIGUE EYECARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-623-5099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114510000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadianne D'Andreti, PA-C
• Michelle D'India, RRT
• Cheryl Ruth Daggett, WHC N.P.
• Gail Leslie Daigle
• Tommy Daigle, RRT
• Patrick Raphael Daly, MD
• Paula J Dalzell-Kenney, PA
• John Dana, LADC
• Eric Daniels
• Mercy Danso-Aboagye, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.