Individual
PETER DOUGLAS PARADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
216 MAIN ST, WATERVILLE, ME 04901-6116
(207) 872-2797
(207) 872-2793
Mailing address
216 MAIN ST, WATERVILLE, ME 04901-6116
(207) 872-2797
(207) 872-2793
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT820
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025801
ANTHEM BCBS
ME
01
—
2023127
AETNA
ME
05
—
249080099
—
ME
01
—
M24029
CIGNA
ME
01
—
MN2200
HARVARD PILGRIM
ME
Enumeration date
05/31/2005
Last updated
11/22/2013
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