Individual
DR. CHARLES M. PLOURDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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
152W00000X
Optometrist
OPT656
ME
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OPT656
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111810000
—
ME
Enumeration date
01/13/2007
Last updated
01/11/2019
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