Provider Demographics
NPI:1528408622
Name:ACHENBACH, RACHEL L (OD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:L
Last Name:ACHENBACH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:L
Other - Last Name:NADEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:584 ROOSEVELT TRL
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-7302
Mailing Address - Country:US
Mailing Address - Phone:207-892-3216
Mailing Address - Fax:207-892-0082
Practice Address - Street 1:584 ROOSEVELT TRL
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-7302
Practice Address - Country:US
Practice Address - Phone:207-892-3216
Practice Address - Fax:207-892-0082
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT939152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist