Individual
DR. ALAN JOSEPH MATHIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
347 MAIN ST STE D, GORHAM, ME 04038-1338
(207) 839-2638
(207) 839-4204
Mailing address
347 MAIN ST STE D, GORHAM, ME 04038-1338
(207) 839-2638
(207) 839-4204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT001081
GA
152W00000X
Optometrist
Primary
OPT724
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003725
BC/BS ANTHEN
ME
01
—
1041364
AETNA
ME
05
—
116900000
—
ME
01
—
M851
CIGNA
ME
01
—
MT048
HARVARD PILGRIM HEALTH CA
ME
Enumeration date
07/31/2006
Last updated
10/26/2010
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