Vision Care of Maine-Aroostook LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

36480 Issued in ME

Legal business name

VISION CARE OF MAINE-AROOSTOOK LLC

Practice address

173 Academy St
Presque Isle, ME 04769-3103

Phone

(207) 764-0376

Fax

(207) 764-7612

NPI assigned

Oct 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cristy Hewitt, RN

Title

Coo

Phone

(207) 385-2036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Vision Care of Maine-Aroostook LLC

  • Ophthalmology Physician
  • Presque Isle, ME
  • NPI 1588763189

  5395631733

  Same PAC ID

Listed as

Vision Care of Mainearoostook LLCCCN 20C0001005

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Curt Tyler Young, MD

  • Ophthalmology Physician
  • Bangor, ME
  • NPI 1750557955
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1023104825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693103",
            "telephone_number": "207-764-0376",
            "fax_number": "207-764-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693103",
            "telephone_number": "207-764-0376",
            "fax_number": "207-764-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE OF MAINE-AROOSTOOK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "HEWITT",
        "authorized_official_first_name": "CRISTY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "207-385-2036",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "ME",
            "license": "36480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Rivera Tungol, M.D.
• Jan Umphrey-Tompkins, RDH
• Catherine J Varnum, O.D.
• Ram Mohan Rao Venepally, MD
• Holly R Vigue
• Vision Care of Maine-Aroostook LLC
• Alejo Visuara Maldonado, MD
• Jennifer Waddell, PT
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• Ambulatory Surgical Clinic/Center in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Ambulatory Surgical Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.