MID STATE EYE ASSOCIATES (NPI# 1548366958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548366958 |
| Entity Type | Organization |
| Organization Name | MID STATE EYE ASSOCIATES |
| Practice Address |
840 Kennedy Memorial Drive Suite 2 Oakland ME 04963 |
| Practice Telephone | 2074659500 |
| Practice Fax Number | 2074659500 |
| Mailing Telephone | 2074659500 |
| Mailing Fax Number | 2074659500 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-12-19 |
| Authorized Official Name | MARK STEPHEN VARNUM (CEO) |
| Authorized Official Telephone | 2074659500 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT747 | ME | Eye and Vision Services Providers |
| Street Address |
840 KENNEDY MEMORIAL DRIVE SUITE 2 |
| City | OAKLAND |
| State | ME |
| Zip Code | 04963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604428 | Meegan Ann Mccullagh | Physician Assistant | 9 Pleasant St., Oakland, ME 04963 | 2018-03-27 |
| 1487105219 | Robin Nicol | Pharmacist | 60 Fairgrounds Marketplace, Skowhegan, ME 04963 | 2016-10-17 |
| 1710255476 | Michelle Hume | Social Worker | 14 Heath St, Oakland, ME 04963 | 2011-12-09 |
| 1720212335 | Maine-ly Elder Care, Inc. | Technician | 28 Center St., Oakland, ME 04963 | 2009-05-11 |
| 1831256478 | Edmund D. Ervin | Internal Medicine | 25 First Park Drive, Ste A, Oakland, ME 04963 | 2007-01-02 |
| 1609943844 | Michael R Nawfel | Dentist | 46b First Park Drive, Oakland, ME 04963 | 2006-11-30 |
| 1093806200 | Joseph Flannery Lopes | Urology | 9 Pleasant Street, Suite 2, Oakland, ME 04963 | 2006-09-27 |
| 1649249079 | Gary M Chaloult | Nurse Practitioner | 35 S Gage Rd, Oakland, ME 04963 | 2006-03-17 |
| 1013988559 | Michael C. Lemieux | Internal Medicine | 11 Evergreen Dr, Central Maine Heart & Vascular, Waterville, ME 04963 | 2006-02-01 |
| 1851394449 | Catherine E Meikle | Orthopaedic Surgery | 107 First Park Drive, Oakland, ME 04963 | 2005-05-27 |
| Find all providers in zip 04963 | ||||
| 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 |
|---|---|---|---|---|
| 1376150003 | Yueying Guan | Optometrist | 2100 109th Ave, Oakland, CA 94603-4015 | 2020-09-27 |
| 1447874193 | Danielle Nicole Licht | Optometrist | 868 Walker Ave Apt 1, Oakland, CA 94610-2033 | 2020-05-28 |
| 1962043463 | Sharon Villa | Optometrist | 5859 Foothill Blvd, # 3, Oakland, CA 94605-1305 | 2019-10-05 |
| 1770049843 | Patricia Hernandez Optometric Center Inc | Optometrist | 4251 Piedmont Ave, Oakland, CA 94611-4713 | 2019-02-14 |
| 1659836872 | Orion Vision Inc. | Optometrist | 5859 Foothill Blvd Ste 3, Oakland, CA 94605-1305 | 2019-02-01 |
| 1760847040 | Vicki Hoffman | Optometrist | 5401 Fernhoff Rd, Oakland, CA 94619-3111 | 2015-12-30 |
| 1134475023 | Jessie K Lee | Optometrist | 7677 Oakport St Ste 100, Oakland, CA 94621-1939 | 2012-07-28 |
| 1316201569 | Christine Wing Wah Ng | Optometrist | 3060 E. 9th Street, Oakland, CA 94601-2925 | 2012-07-02 |
| 1730458076 | Avanti Arvind Ghanekar | Optometrist | 201 4th St Apt 503, Oakland, CA 94607-4373 | 2011-12-15 |
| 1386956308 | Elsa Pao Od Inc | Optometrist | 901 Franklin St Ste 68, Oakland, CA 94607-4476 | 2010-07-07 |
| Find all providers in OAKLAND | ||||
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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.