Organization
DR ALAN J MATHIEU P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN J MATHIEU O.D. (PRESIDENT)
(207) 839-2638
Entity
Organization
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
Primary
OPT724
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003725
ANTHEM
ME
01
—
1041364
AETNA
ME
05
—
116900000
—
ME
01
—
M851
CIGNA
ME
01
—
MT048
HARVARD PILGRAM
ME
Enumeration date
10/17/2006
Last updated
10/01/2008
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