NICKERSON OPTICAL (NPI# 1336309046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336309046 |
| Entity Type | Organization |
| Organization Name | NICKERSON OPTICAL |
| Practice Address |
8 Mason St Brunswick ME 04011-1514 |
| Practice Telephone | 2077257741 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MR. MARK NICKERSON (MASTER OPTICIAN) |
| Authorized Official Telephone | 2077257741 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
8 MASON ST |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740202621 | Gregory George Gensheimer | Ophthalmology | 8 Mason St, Brunswick, ME 04011-1514 | 2006-07-23 |
| 1104252238 | Midcoast Eye Associates | Ophthalmology | 8 Mason St, Brunswick, ME 04011-1514 | 2013-09-20 |
| 1710181045 | Mark A. Nickerson | Technician/Technologist | 8 Mason St, Brunswick, ME 04011-1514 | 2007-06-12 |
| 1013030378 | Kurt Kelley | Ophthalmology | 8 Mason St, Brunswick, ME 04011-1514 | 2007-04-09 |
| 1083744429 | Marybeth Dunston Ford | Ophthalmology | 8 Mason St, Brunswick, ME 04011-1514 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235406315 | Discount Opyical | Eyewear Supplier (Equipment, not the service) | 1669 Pearl Rd, Brunswick, OH 44212-3405 | 2011-11-17 |
| 1124346556 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 100 Mall Blvd, Glynn Place Mall Ste #3, Brunswick, GA 31525-1855 | 2010-05-10 |
| 1184785594 | American Vision Center | Eyewear Supplier (Equipment, not the service) | 903 Glynn Isle, Brunswick, GA 31525-2938 | 2006-12-12 |
| 1427064690 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 755 State Rt 18 Ste 600, Brunswick, NJ 08816 | 2006-07-31 |
| 1528015005 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 800 Burbank Ave, Building 11, Brunswick, ME 04011-5019 | 2006-05-28 |
| 1366498230 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 150 Altama Connector, Brunswick, GA 31525-2203 | 2006-05-25 |
| 1295993756 | Stay Focused Eyecare | Eyewear Supplier (Equipment, not the service) | 120 Commerce Dr, Brunswick, GA 31525-1890 | 2008-05-30 |
| 1679647002 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 100 Mall Blvd, Glynn Place Mall Ste #3, Brunswick, GA 31525-1855 | 2006-11-18 |
| 1558431999 | Union Eye Care Center, Inc. | Eyewear Supplier (Equipment, not the service) | 1333 N Carpenter Rd, Brunswick, OH 44212-3178 | 2006-11-09 |
| 1487668026 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8 Gurnet Rd, Brunswick, ME 04011 | 2006-07-28 |
| Find all providers in BRUNSWICK | ||||
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| 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.