Individual
JOHN A DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
91 MAPLE ST, CORNISH, ME 04020-3101
(207) 625-3700
(207) 625-3277
Mailing address
PO BOX 18, CORNISH, ME 04020-0018
(207) 625-3700
(207) 625-3277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0698
NH
152W00000X
Optometrist
Primary
836TA
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100431
ANTHEM BCBS
ME
01
—
14373851
AETNA
ME
01
—
93222397
CIGNA
ME
Enumeration date
11/18/2005
Last updated
04/25/2016
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