Individual provider · NPI-1
Andre B Achenbach, O.D.
Optometrist · Brunswick, ME
NPI number1376807263
StatusActive
Last updated in NPPESJun 26, 2012
Details
- NPI
- 1376807263
- Entity type
- Individual (NPI-1)
- Name
- Andre B Achenbach
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2012
- Last updated
- Jun 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT927 | ME | Yes |
Practice location
82 Maine StBrunswick, ME 04011-2015
Phone 207-729-8474 · Fax 207-729-8955
Mailing address
82 Maine StBrunswick, ME 04011-2015
Phone 207-729-8474 · Fax 207-729-8955
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