DR. RANDALL CROCKETT HIMES (NPI# 1144380478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144380478 |
| Entity Type | Individual |
| Full Name | DR. RANDALL CROCKETT HIMES |
| Credential | O.D. |
| Practice Address |
146 Academy St Suite D Presque Isle ME 04769-3102 |
| Practice Telephone | 2077647900 |
| Mailing Telephone | 2077647900 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2014-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT948 | ME | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 6256310-9934 | UT | Eye and Vision Services Providers |
| Street Address |
146 ACADEMY ST SUITE D |
| City | PRESQUE ISLE |
| State | ME |
| Zip Code | 04769-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660542 | Stephen S Martin | Ophthalmology | 146 Academy St, Ste D, Presque Isle, ME 04769-3102 | 2005-06-24 |
| 1720300049 | Amy King | Registered Nurse | 146 Academy St, Suite 1c, Presque Isle, ME 04769-3102 | 2010-03-01 |
| 1457376493 | Sue Porter | Physician Assistant | 146 Academy St, Suite A, Presque Isle, ME 04769-3102 | 2006-07-12 |
| 1831188135 | Rodney Harold Lahren | Surgery | 146 Academy St, Suite 1 A, Presque Isle, ME 04769-3102 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
| 1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
| 1831561562 | Vna Home Health & Hospice | Home Health | 18 Green Hill Rd Ste 1, Presque Isle, ME 04769 | 2015-10-21 |
| 1225439581 | A & L Clinical Services | Community/Behavioral Health | 742 Main Street, Presque Isle, ME 04769 | 2014-09-05 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1669659603 | Susan Cambridge Dick | Occupational Therapist | 10 Bernadette, Caribou Rehab and Nursing Center, Caribou, ME 04769 | 2008-01-22 |
| 1285826792 | Osama Aziz | Internal Medicine | 146 Academy St, Suite 1b, The Aroostook Medical Center, Presque Isle, ME 04769 | 2007-08-17 |
| 1831220250 | Rachel Mary Swartz | Obstetrics & Gynecology | 140 Academy St Ste 4, Presque Isle, ME 04769 | 2007-03-08 |
| 1114053634 | Ralph U Scheidler | Social Worker | 20 Dyer Street, Community Care, Presque Isle, ME 04769 | 2007-02-26 |
| 1427158716 | Venkatram Nethala | Internal Medicine | 146 Academy Street, Suite 1b, Presque Isle, ME 04769 | 2006-09-25 |
| Find all providers in zip 04769 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205915618 | Catherine J Varnum | Optometrist | 131 Academy St, Presque Isle, ME 04769-3101 | 2006-11-04 |
| 1083138960 | Bradley N Trask | Optometrist | 173 Academy St, Presque Isle, ME 04769-3103 | 2017-08-01 |
| 1972783181 | Catherine J. Varnum O.d. | Optometrist | 131 Academy St, Presque Isle, ME 04769-3101 | 2007-11-06 |
| 1457423865 | James L. Tompkins | Optometrist | 234 State St, Presque Isle, ME 04769-2657 | 2006-11-14 |
| 1588763189 | Vision Care of Maine-aroostook LLC | Optometrist | 173 Academy St, Presque Isle, ME 04769-3103 | 2006-09-21 |
| 1467488569 | Richard A Graves IIi | Optometrist | 396 Main St, Presque Isle, ME 04769-2601 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689235160 | Maja Krsmanovic | Optometrist | 14 Buca Run, Portland, ME 04103-1427 | 2019-06-25 |
| 1306405089 | David Gandelman | Optometrist | 41 Premier Dr Apt 210, Lisbon, ME 04250-6086 | 2019-06-06 |
| 1265995674 | Vision Care of Maine Aroostook, LLC | Optometrist | 9 Katahdin Ln, Houlton, ME 04730-3573 | 2019-04-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| 1952765356 | Alyssa Verrill | Optometrist | 29 Dirigo Dr, Brewer, ME 04412-1600 | 2016-04-12 |
| 1730564618 | Luke Cyr | Optometrist | 35 State Hospital Druve, Eye Clinic, Bangor, ME 04401 | 2015-07-21 |
| 1215334248 | Eyecare Today, Pa | Optometrist | 449 Forest Ave Ste 8, Portland, ME 04101-2008 | 2014-11-19 |
| 1518363522 | Precision Eye Care Pa | Optometrist | 29 Military St, Suite B, Houlton, ME 04730-1713 | 2014-11-18 |
| 1306272406 | Ethan Ranger Taylor | Optometrist | 824 Stillwater Avenue, Bangor, ME 04401-3614 | 2013-09-20 |
| Find all providers with the same taxonomy | ||||
| City | PRESQUE ISLE |
| Zip Code | 04769 |
Please comment or provide details below to improve the information on DR. RANDALL CROCKETT HIMES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.