MEDICARE: DR. JANET C WHELAN O.D., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT715	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000654	OTHER	ME	ANTHEM BCBS
2	1041325	OTHER	ME	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457356024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET C WHELAN O.D., P.A.

Provider Business Mailing Address
First Line	:	3 BEACON AVE
Second Line	:	STE 101
City	:	BIDDEFORD
State	:	ME
Zip	:	04005-2917
Country	:	US
Telephone Number	:	207-284-4231
Fax Number	:	207-283-4234

Provider Business Practice Location Address
First Line	:	3 BEACON AVE
Second Line	:	STE 101
City	:	BIDDEFORD
State	:	ME
Zip	:	04005-2917
Country	:	US
Telephone Number	:	207-284-4231
Fax Number	:	207-283-4234

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	05/01/2008

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