Provider Demographics
NPI:1528685948
Name:RHOTON, MADISON ABBEY (OD)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:ABBEY
Last Name:RHOTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:ABBEY
Other - Last Name:GALLIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:227 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-5951
Mailing Address - Country:US
Mailing Address - Phone:304-380-7999
Mailing Address - Fax:
Practice Address - Street 1:15 CHALLENGER DR
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-1041
Practice Address - Country:US
Practice Address - Phone:877-421-8263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MEOPT1081152W00000X
VA0618002923152W00000X
KY2221DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program