Paradis, Peter Douglas

Paradis, Peter Douglas is an individual health care provider with primary practice located at 216 Main St , Waterville ME 04901-6116. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Paradis, Peter Douglas can be contacted via phone (207) 872-2797.

Contact Information

Primary practice address
216 Main St Waterville ME 04901-6116
Phone: (207) 872-2797
Fax: (207) 872-2793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT820 Maine

Profile Details

NPI number 1912900309
LBN Legal business name Paradis, Peter Douglas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Nov 22nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912900309 NPPES
Maine MEDICAID 249080099
Maine Other MN2200
Maine Other 025801
Maine Other M24029
Maine Other 2023127

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