MAINE EYE CENTER, PA (NPI# 1720044878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720044878 |
| Entity Type | Organization |
| Organization Name | MAINE EYE CENTER, PA |
| Practice Address |
15 Lowell St Portland ME 04102-2776 |
| Practice Telephone | 2077748277 |
| Practice Fax Number | 2075235310 |
| Mailing Telephone | 2077748277 |
| Mailing Fax Number | 2075235310 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | RICHARD MCARDLE (CEO) |
| Authorized Official Telephone | 2077748277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers | ||
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
Eye and Vision Services Providers | ||
| N | 156FX1101X |
Technician/Technologist Specialization: Ophthalmic Assistant |
Eye and Vision Services Providers | ||
| N | 156FX1202X |
Technician/Technologist Specialization: Optometric Technician |
Eye and Vision Services Providers | ||
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 106700100 | 05 | |
| ME | CHAMPUS GROUP # | E00118 | 01 |
| ME | CIGNA HEALTHSOURCE GROUP | M304 | 01 |
| ME | ANTHEM FACILITY GROUP # | 000335 | 01 |
| ME | RAILROAD FACILITY GROUP # | 490000770 | 01 |
| ME | 106700000 | 05 | |
| ME | 106700200 | 05 | |
| ME | CIGNA HS FACILITY GROUP | M187212 | 01 |
| NH | NH CIGNA HEALTHSOURCE GRO | 9720 | 01 |
| ME | AETNA FACILITY GROUP # | 2359120 | 01 |
| NH | 99904863 | 05 | |
| ME | 106700300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295855948 | Maine Eye Center, Pa | Clinic/Center | 161 Marginal Way, Portland, ME 04101-2438 | 2007-03-29 |
| 1699893784 | Maine Eye Center, Pa | Durable Medical Equipment & Medical Supplies | 15 Lowell St, Portland, ME 04102-2726 | 2007-03-27 |
| Street Address |
15 LOWELL ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529564 | Robert S Cady | Ophthalmology | 15 Lowell St, Portland, ME 04102-2748 | 2005-06-22 |
| 1982106548 | Boston Ocular Prosthetics Inc | Technician/Technologist | 15 Lowell St, Portland, ME 04102-2726 | 2018-02-28 |
| 1952718413 | Holly Knight Mccarthy | Optometrist | 15 Lowell St, Portland, ME 04102-2726 | 2014-07-16 |
| 1578822094 | Brynn N Wajda | Ophthalmology | 15 Lowell St, Portland, ME 04102-2726 | 2012-05-04 |
| 1295906931 | Brooke E Miller | Ophthalmology | 15 Lowell St, Portland, ME 04102-2726 | 2008-03-21 |
| 1346445632 | Jennifer Lynn Garvey | Specialist | 15 Lowell St, Portland, ME 04102-2726 | 2007-06-18 |
| 1699893784 | Maine Eye Center, Pa | Durable Medical Equipment & Medical Supplies | 15 Lowell St, Portland, ME 04102-2726 | 2007-03-27 |
| 1275534489 | Curtis Mackay Libby | Ophthalmology | 15 Lowell St, Portland, ME 04102-2748 | 2005-08-10 |
| 1376549402 | Frederick S Miller | Ophthalmology | 15 Lowell St, Portland, ME 04102-2748 | 2005-06-23 |
| 1689670762 | John L Walters | Optometrist | 15 Lowell St, Portland, ME 04102-2748 | 2005-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003357831 | Sungjae Yang | Ophthalmology | 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239-3098 | 2017-03-13 |
| 1538522669 | Priscilla Quynh-phuong Vu | Ophthalmology | 515 Sw Campus Dr, Portland, OR 97239-3130 | 2016-04-05 |
| 1861736902 | Asem Alqudah | Ophthalmology | 4730 Sw Luradel St Apt 6, Portland, OR 97219-6841 | 2012-11-15 |
| 1184912925 | Mehrdad Malihi | Ophthalmology | 10940 Sw Barnes Rd # 132, Portland, OR 97225-5368 | 2011-07-14 |
| 1275820714 | Aristomenis Thanos | Ophthalmology | 1040 Nw 22nd Ave Bldg 2, Portland, OR 97210-3057 | 2011-07-06 |
| 1437440435 | Jessica S Watson | Ophthalmology | 15 Lowell Street, Portland, ME 04102-2726 | 2011-04-25 |
| 1497955777 | Paul James Mackenzie | Ophthalmology | 1040 Nw 22nd Ave Fl 2, Portland, OR 97210-3057 | 2007-07-24 |
| 1013127075 | Michael David Straiko | Ophthalmology | 1040 Nw 22nd Ave., Suite 200, Portland, OR 97210 | 2007-05-22 |
| 1952515645 | Jay Brandon Futterman | Ophthalmology | 3719 Se Market St, Portland, OR 97214-5147 | 2007-05-10 |
| 1063541381 | Thomas William Lindgren | Ophthalmology | 4702 Sw Scholls Ferry Rd # 104, Portland, OR 97225-1667 | 2007-03-04 |
| Find all providers in PORTLAND | ||||
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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.