Individual
DR. DOUGLAS KENT GAUVREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
151 MAIN ST, WESTBROOK, ME 04092-4808
(207) 854-1801
(207) 854-0260
Mailing address
151 MAIN ST, WESTBROOK, ME 04092-4808
(207) 854-1801
(207) 854-0260
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT554
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000378
BC & BS
ME
01
—
0468580001
MEDICARE DMEPOS
ME
05
—
107830099
—
ME
01
—
410032606
RAILROAD MEDICARE
ME
Enumeration date
03/07/2007
Last updated
07/23/2009
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