DR. DOUGLAS J. HENRY (NPI# 1750377958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750377958 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS J. HENRY |
| Credential | O.D. |
| Practice Address |
168 East Ave Lewiston ME 04240-5626 |
| Practice Telephone | 2077843564 |
| Practice Fax Number | 2077822541 |
| Mailing Telephone | 2077843564 |
| Mailing Fax Number | 2077822541 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2011-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT833 | ME | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPT833 | ME | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
OPT833 | ME | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM-BC/BS | 025957 | 01 |
| ME | DME | 0324520001 | 01 |
| ME | 322020099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033185806 | Douglas Henry | Pediatrics | 605 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5318 | 2006-02-23 |
| 1700441664 | Douglas Edward Henry | Physical Therapist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-05-07 |
| 1013173350 | Douglas Gregg Henry | Pharmacist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2008-08-06 |
| 1669560876 | Douglas Wayne Henry | Counselor | 950 Meadow Dr, Suite A, Mount Gilead, OH 43338-1055 | 2006-10-11 |
| 1427149426 | Douglas Neal Henry | Pediatrics | 1200 E Michigan Ave, Suite 410, Lansing, MI 48912-1800 | 2006-09-27 |
| 1639116122 | Douglas E Henry | Physical Medicine & Rehabilitation | 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 | 2006-06-01 |
| 1275512071 | Douglas M. Henry | Physician Assistant | 2360 Mullan Rd, Suite C, Missoula, MT 59808-1811 | 2006-01-11 |
| Street Address |
168 EAST AVE |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-5626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205038544 | Optometric Associates Pa | Optometrist | 168 East Ave, Lewiston, ME 04240-5626 | 2007-05-31 |
| 1235174889 | Stephen Lewis Ebersole | Optometrist | 168 East Ave, Optometric Associates, Lewiston, ME 04240 | 2006-06-18 |
| 1356337919 | Pauline V. Beale | Optometrist | 168 East Ave, Lewiston, ME 04240-5626 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710276324 | Wilson Polito Pllc | Optometrist | 739 Bryden Ave Ste A, Lewiston, ID 83501-4909 | 2011-04-04 |
| 1396995239 | Isaac M Bell | Optometrist | 210 Thain Rd, Lewiston, ID 83501-4830 | 2008-09-29 |
| 1568560811 | Lee U De Rosa | Optometrist | 633 Main St, Lewiston, ME 04240-5938 | 2006-09-20 |
| 1285745075 | Arthur Gene Osterberg | Optometrist | 1313 G St, Lewiston, ID 83501-1934 | 2006-08-31 |
| 1457468613 | Carmine John Petracca | Optometrist | 939 Bryden, Lewiston, ID 83501-5097 | 2006-08-24 |
| 1972610236 | Donald K James | Optometrist | 3330 4th St, Lewiston, ID 83501-4405 | 2006-08-24 |
| 1821013913 | Edward Bruce Kirn | Optometrist | 249 Main Street, Lewiston, ME 04240-7053 | 2006-07-12 |
| 1801821616 | Melissa M Bell | Optometrist | 1910 Idaho St, Lewiston, ID 83501-2564 | 2006-07-11 |
| 1821024050 | John T Rietz | Optometrist | 1616 19th Ave, Lewiston, ID 83501-4005 | 2006-06-22 |
| 1962458505 | Reginald Mailhot | Optometrist | 220 Sabattus St, Lewiston, ME 04240-6347 | 2006-05-25 |
| Find all providers in LEWISTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.