NPI 1649464983

Roger R Gagnon

Organisation Optometrist South Portland, ME

Practice location

Address: 510 Maine Mall, South Portland, ME 04106-3238
Phone: (207) 775-2030

Authorised official

Name: Roger R Gagnon
Title: Ceo
Phone: (207) 775-2030

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Maine →

Registry record

NPI: 1649464983
Entity type: Organization
NPI issued: 29 Aug 2007
Record last updated: 5 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.