Active NPIIndividual provider

Mrs. Mary C Beaulieu, OD

Optometrist in Waterford, Connecticut

NPI Number1528126117
Practice location
131 Boston Post RD, Suite 4, Waterford, CT 06385-2839
Fax
860-443-4118
Last updated
August 26, 2009

Mary Christine Beaulieu is an Optometrist based in Waterford, CT. Mary Christine Beaulieu practices in Waterford, CT and has the professional credentials of OD. The NPI Number for Mary Christine Beaulieu is 1528126117 and holds a License No. 2212 (CT). The current practice location address for Mary Christine Beaulieu is 131 Boston Post RD, Suite 4, Waterford, CT 06385-2839 and can be reached out via phone at 860-442-5058 and via fax at 860-443-4118.

Provider Profile Details

NPI Number
1528126117
Provider Name
Mary Christine Beaulieu
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
131 Boston Post RD, Suite 4, Waterford, CT 06385-2839
Phone Number
860-442-5058
Fax Number
860-443-4118
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
December 5, 2006
Last Update Date
August 26, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
131 Boston Post RD
Suite 4
Waterford, CT 06385-2839
Zip
06385-2839
Phone Number
860-442-5058
Fax Number
860-443-4118
Waterford, CT 06385Get directions →

Provider Business Mailing Address Details

Address
131 Boston Post RD
Suite 4
Waterford, CT 06385-2839
City
Waterford
State
CT
Zip
06385-2839
Phone Number
860-442-5058
Fax Number
860-443-4118

License Information

License Number
2212
License State
CT
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Mary C Beaulieu, OD?

The NPI number of Mrs. Mary C Beaulieu, OD is 1528126117. It was assigned on December 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mary C Beaulieu, OD?

Mrs. Mary C Beaulieu, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 2212.

Where does Mrs. Mary C Beaulieu, OD practice?

The practice location is 131 Boston Post RD, Suite 4, Waterford, CT 06385-2839. The office can be reached at 860-442-5058 (phone) or 860-443-4118 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528126117 directly on the NPPES registry website.

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