Individual
DR. ERIC TODD ROUSH
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
152W00000X
Optometrist
Primary
OPT881
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0468580001
MEDICARE DMEPOS
ME
01
—
048954
ANTHEM
ME
05
—
432734099
—
ME
01
—
AA100857
HARVARD PILGRIM
ME
Enumeration date
07/12/2006
Last updated
07/23/2009
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