Organization
CHARLES M. PLOURDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M. PLOURDE O.D. (OWNER)
(207) 868-3341
Entity
Organization
Contact information
Practice address
67 MAIN ST, VAN BUREN, ME 04785-1028
(207) 868-3341
(207) 868-3441
Mailing address
67 MAIN ST, P.O. BOX 300, VAN BUREN, ME 04785-1028
(207) 868-3341
(207) 868-3441
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
0656
ME
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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