Mr. David Thomas Douglass is a Bangor, Maine based male Optometrist with 35 years of experience in Optometry. He completed his graduation from Ferris State College - College Of Optometry in 1989. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. David Thomas Douglass is OPT757 for Optometry in Maine. Mr. David Thomas Douglass 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Mr. David Thomas Douglass speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
35+ years
Medical School Attended:
Ferris State College - College Of Optometry
Graduation Year:
1989
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
955 Broadway, Bangor, Maine, 04401-2918
Phone:
207-990-4388
Fax:
207-947-9241
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2860446366
Enrollment ID:
I20050525000712
NPI Number:
1417949678
NPI Enumeration Date:
15 Aug, 2005
NPI Last Update On:
29 Dec, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. David Thomas Douglass are as mentioned below.
License Number
Specialization
State
Status
OPT757
Optometry
Maine
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. David Thomas Douglass has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Northeast Eyecare, Inc. (4183785298)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. David Thomas Douglass such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
243540099
Medicaid
Maine
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
955 Broadway, Bangor, Maine
Zip:
04401-2918
Phone Number:
207-990-4388
Fax Number:
207-947-9241
Patients can reach Mr. David Thomas Douglass at 955 Broadway, Bangor, Maine or can call to book an appointment on 207-990-4388. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.