Provider Demographics
NPI:1275978793
Name:DOC B'S EYE CARE, P.A.
Entity Type:Organization
Organization Name:DOC B'S EYE CARE, P.A.
Other - Org Name:BEAU EYE CARE, P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUBOEUF
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:207-406-4635
Mailing Address - Street 1:15 WINNERS CIR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-1740
Mailing Address - Country:US
Mailing Address - Phone:207-406-4635
Mailing Address - Fax:207-406-4627
Practice Address - Street 1:15 WINNERS CIR
Practice Address - Street 2:SUITE 2
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-1740
Practice Address - Country:US
Practice Address - Phone:207-406-4635
Practice Address - Fax:207-406-4627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty