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Contact Information

MCCORMICK AND BOUCHARD EYE CARE, LLC
5 EDWARDS AVE
DAMARISCOTTA, ME04543-4252
 Phone: 207-563-3049
 Fax: 207-563-3904
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MCCORMICK AND BOUCHARD EYE CARE, LLC

NPI # 1255526323
LBN Legal business name MCCORMICK AND BOUCHARD EYE CARE, LLC
Authorized official MICHELLE BOUCHARD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2007
Last updated 04/07/2025 - More than a year ago
Identifiers
ME Medicaid 133230000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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