Provider Demographics
NPI:1144225475
Name:COTE, PAUL P (OD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:P
Last Name:COTE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7053
Mailing Address - Country:US
Mailing Address - Phone:207-783-9653
Mailing Address - Fax:207-786-4362
Practice Address - Street 1:249 MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7053
Practice Address - Country:US
Practice Address - Phone:207-783-9653
Practice Address - Fax:207-786-4362
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT794152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME0005751654OtherAETNA NON-HMO
ME247330099OtherMAINE CARE
ME30009622OtherN.H. MEDICAID/EDS
MEU55713OtherHARVARD PILGRIM HEALTH CA
ME1044425OtherAETNA HMO
ME017015OtherANTHEM BLUE CROSS
ME247330099Medicaid
ME410027558OtherRAILROAD MEDICARE
MEU55713Medicare UPIN
ME0005751654OtherAETNA NON-HMO
MEMM5918Medicare PIN