Individual
DR. TIMOTHY DAVID RIOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
29 MEADOW LN, FORT KENT, ME 04743-1203
(207) 834-3333
(207) 834-6095
Mailing address
29 MEADOW LN, FORT KENT, ME 04743-1203
(207) 834-3333
(207) 834-6095
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT773TA
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017032
ANTHEM
—
05
—
128740000
—
ME
01
—
2023142
AETNA
—
01
—
MM4230
RAILROAD MEDICARE
—
Enumeration date
01/20/2006
Last updated
12/19/2007
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