| |
15 Winners Cir, Suite 2, Topsham, ME 04086-1740 | |
(207) 406-4635 | |
(207) 406-4627 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 15 Winners Cir, Topsham, Maine |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275978793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Peter A Beauboeuf |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104824747 PECOS PAC ID: 6709784341 Enrollment ID: I20050531000300 |
Mailing Address | Practice Location Address |
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15 Winners Cir, Suite 2, Topsham, ME 04086-1740 Ph: (207) 406-4635 | 15 Winners Cir, Suite 2, Topsham, ME 04086-1740 Ph: (207) 406-4635 |
Peter A Beauboeuf, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15 Winners Cir, Suite 2, Topsham, ME 04086 Phone: 207-406-4635 Fax: 207-406-4627 |