Individual provider Active NPI

Erin Elizabeth Lichtenstein, MD

  • Ophthalmology Physician
  • Fairfield, ME
National Provider Identifier
1023290145
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD19765 Issued in ME
Practice address
4 Sheridan Rd
Fairfield, ME 04937-3314
Phone
(207) 872-9564
Fax
(207) 861-5458
NPI assigned
Nov 30, 2007
Last updated
Nov 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD19765 ME Primary

Addresses

Primary practice location

4 Sheridan Rd
Fairfield, ME 04937-3314

Mailing address

4 Sheridan Rd
Fairfield, ME 04937-3314
Phone (207) 872-9564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130809000058 ME Practitioner - Ophthalmology 7315115136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, shared by 4 NPIs, 554 clinicians

Practice addresses (Care Compare)

4 Sheridan Rd
Suite 2
Fairfield, ME 04937-3314
Phone (207) 872-9564

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19765MEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center Ophthalmology CurrentSince Oct 3, 2016 Accepting new patients
Mainegeneral Medical Center CurrentSince Oct 3, 2016 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 21, 2016 Accepting new patients

Locations

4 Sheridan Rd
Fairfield, ME 04937
Phone (207) 453-3000

4 Sheridan Rd
#2
Fairfield, ME 04937
Phone (207) 453-3000

150 Dresden Ave
Gardiner, ME 04345
Phone (207) 621-9337

10 Water St
Ste 202
Waterville, ME 04901
Phone (207) 873-9846

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1023290145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHERIDAN RD",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049373314",
            "telephone_number": "207-872-9564",
            "fax_number": "207-861-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHERIDAN RD",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049373314",
            "telephone_number": "207-872-9564",
            "fax_number": "207-861-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTENSTEIN",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "MD19765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, ME

Sources for this page

Verify at the official NPI Registry.