Organization
BATH OPTOMETRIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS FRANCIS RICCIARDONE JR. O.D. (PRESIDENT/OWNER)
(207) 443-5012
Entity
Organization
Contact information
Practice address
126 FRONT ST, BATH, ME 04530-2607
(207) 443-5012
(207) 442-8661
Mailing address
126 FRONT ST, BATH, ME 04530-2607
(207) 443-5012
(207) 442-8661
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
571T
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000468
ANTHEM
ME
05
—
100410020
—
ME
01
—
1041908
AETNA
ME
01
—
M52290
CIGNA
ME
01
—
MNT 267
HARVARD PILGRIM
ME
Enumeration date
11/27/2007
Last updated
08/02/2010
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