Organization
MCCORMICK AND BOUCHARD EYE CARE, LLC
Active
Other names
Coastal Family Eye Care, Coastal Family Eye Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE BOUCHARD OD (OWNER)
(207) 563-8064
Entity
Organization
Contact information
Practice address
5 EDWARDS AVE, DAMARISCOTTA, ME 04543-4252
(207) 563-3049
(207) 563-3904
Mailing address
5 EDWARD AVE, DAMARISCOTTA, ME 04543-4252
(207) 563-3049
(207) 563-3904
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133230000
—
ME
Enumeration date
09/11/2007
Last updated
04/07/2025
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