AMY M ABBOTT (NPI# 1578663365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578663365 |
| Entity Type | Individual |
| Full Name | AMY M ABBOTT |
| Credential | O.D. |
| Practice Address |
510 Mainemall Rd. South Portland ME 04106 |
| Practice Telephone | 2077752030 |
| Practice Fax Number | 2077750755 |
| Mailing Telephone | 2077752030 |
| Mailing Fax Number | 2077750755 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT864 | ME | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 098598 | 01 |
| ME | MEDICARE GROUP # | 0002921 | 01 |
| ME | GROUP NPI # | 1649464983 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184865321 | Amy Abbott | Occupational Therapist | 2150 Lexington Rd Ste G, Richmond, KY 40475-7924 | 2009-03-18 |
| 1184795403 | Amy Kahn Abbott | Chiropractor | 1627 142nd Ave, Dorr, MI 49323-9426 | 2006-11-10 |
| 1689080186 | Amy Abbott | Pharmacist | 1801 N Main St, Madisonville, KY 42431-9024 | 2014-07-03 |
| 1689943490 | Amy L Abbott | Nurse Anesthetist, Certified Registered | 200 Lothrop St, Suite 9055 Forbes Tower, Pittsburgh, PA 15213-2536 | 2011-12-22 |
| Street Address |
510 MAINEMALL RD. |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124128913 | Roger R Gagnon | Optometrist | 510 Mainemall Rd., South Portland, ME 04106 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| 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 |
|---|---|---|---|---|
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| 1649464983 | Roger R Gagnon | Optometrist | 510 Maine Mall, South Portland, ME 04106-3238 | 2007-08-29 |
| 1336233931 | Mark E. Elkinson | Optometrist | 200 Gorham Rd, Suite 940, South Portland, ME 04106-2409 | 2006-10-03 |
| 1124128913 | Roger R Gagnon | Optometrist | 510 Mainemall Rd., South Portland, ME 04106 | 2006-09-22 |
| 1073621090 | Peter F Morse Inc | Optometrist | 213 Maine Mall, South Portland, ME 04106-3229 | 2006-08-29 |
| 1407807126 | Peter F Morse | Optometrist | 213 Maine Mall Rd, South Portland, ME 04106-2312 | 2006-05-15 |
| 1760441042 | Krishna Krithivas | Optometrist | 743 Broadway, South Portland, ME 04106-4419 | 2006-03-23 |
| 1619966041 | Francis H Robbins | Optometrist | 10 Q St, South Portland, ME 04106-3601 | 2005-10-18 |
| 1063401693 | Casco Bay Eyecare LLC | Optometrist | 144 Thadeus St, South Portland, ME 04106-6259 | 2005-10-17 |
| 1679044739 | Advanced Clinical Eyecare of Southern Maine, P.C. | Optometrist | 335 Maine Mall Rd, South Portland, ME 04106-3214 | 2018-12-16 |
| Find all providers in SOUTH PORTLAND | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on AMY M ABBOTT.
| 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.