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Contact Information

DALE L RODRIGUE, OD
58 STATE STREET
AUGUSTA, ME04330
 Phone: 207-623-5099
 Fax: 207-623-7124
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DALE L RODRIGUE · (Male)

NPI Number 1427164045
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/23/2006
Last updated 07/14/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # 690T ADVANCED
  • ME Medicaid 114510000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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