| Dale Rodrigue Eyecare Center, Inc | |
|
58 State St, Augusta, ME 04330-5124 | |
| (207) 623-5099 | |
| (207) 623-7124 |
| Full Name | Dale Rodrigue Eyecare Center, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 58 State St, Augusta, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841587656 | NPI | - | NPPES |
| 114510000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT690 (Maine) | Primary |
| Provider Name | Dale L Rodrigue |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427164045 PECOS PAC ID: 3577571827 Enrollment ID: I20060328000286 |
| Provider Name | Leah Diane Grotton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316386840 PECOS PAC ID: 7012131519 Enrollment ID: I20140623002170 |
| Provider Name | Alexandra Rae Grotton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447600986 PECOS PAC ID: 4385937531 Enrollment ID: I20160726000359 |
| Provider Name | Hannah M Wood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154936920 PECOS PAC ID: 1951702364 Enrollment ID: I20210623001089 |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Rodrigue Eyecare Center, Inc 58 State St, Augusta, ME 04330-5124 Ph: (207) 623-5099 | Dale Rodrigue Eyecare Center, Inc 58 State St, Augusta, ME 04330-5124 Ph: (207) 623-5099 |
Dr. James P Smith, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Va Ctr, Togus Vamc Eye Clinic, Augusta, ME 04330 Phone: 207-623-8411 | |
Smart Vision, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 255 Western Ave, Augusta, ME 04330 Phone: 207-622-5800 Fax: 207-621-2790 | |
Benjamin I Graham, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8411 | |
Hannah Michaella Wood, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Va Center, Surgical Service 112 E, Augusta, ME 04330 Phone: 207-623-8411 | |
Dr. Stephanie Lynn Arnio, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8411 | |
Advanced Vision Care Of Maine Optometrist Medicare: Medicare Enrolled Practice Location: 254 Western Ave, Augusta, ME 04330 Phone: 207-622-3015 Fax: 207-621-7716 | |
Dr. Leah D Grotton, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 58 State St, Augusta, ME 04330 Phone: 207-623-5099 Fax: 207-623-7124 |