Bradley N Trask (NPI# 1083138960, PAC ID# 1850659251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1083138960 |
| PAC ID by PECOS | 1850659251 |
| Professional Enrollment ID | I20171212002269 |
| Full Name | Bradley N Trask |
| Organization Legal Name | VISION CARE OF MAINE LLC |
| Address |
1 Ridgewood Dr Bangor ME 04401-2652 |
| Phone Number | 2079456200 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2365339744 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 Ridgewood Dr, Bangor, ME 04401-2652 | 2079456200 | VISION CARE OF MAINE LLC |
| 173 Academy St, Presque Isle, ME 04769-3103 | 2077640376 | VISION CARE OF MAINE-AROOSTOOK LLC |
| Organization Legal Name | VISION CARE OF MAINE LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy R Valentine | Ophthalmology | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Luke Gamble | Optometry | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| George B Peters Iii | Ophthalmology | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Tracey Erin Durkovich | Ophthalmology | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Oscar R Batlle | Ophthalmology | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Curt T Young | Ophthalmology | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Ravindra A Shah | Ophthalmology | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Amy K Burke | Optometry | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Charles A Civiello Jr. | Optometry | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Street Address |
1 RIDGEWOOD DR |
| City | BANGOR |
| State | ME |
| Zip | 04401-2652 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy R Valentine | Ophthalmology | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Luke Gamble | Optometry | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| George B Peters Iii | Ophthalmology | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Tracey Erin Durkovich | Ophthalmology | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Oscar R Batlle | Ophthalmology | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Curt T Young | Ophthalmology | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Ravindra A Shah | Ophthalmology | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Amy K Burke | Optometry | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Charles A Civiello Jr. | Optometry | Vision Care of Maine LLC | 1 Ridgewood Dr, Bangor, ME 04401-2652 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karie Anne Davis | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Elizabeth A Brewer | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Heidi Lee Niles | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Ashley Diane Philibert | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Jaimee Leigh Perry | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Matthew Timothy Soucy | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Michael James Strahan | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Karen E Mitchell | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Ann M Covey | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Susan Allen | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Find all physicians in zip 04401 | |||
| City | BANGOR |
| Zip Code | 04401 |
| Specialty | OPTOMETRY |
| City + Specialty | BANGOR + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.