Tracy K Giles PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TRACY K GILES PA

Doing business as

Giles Eye Care

Practice address

1039 Washington Ave
Portland, ME 04103-3628

Phone

(207) 775-6533

Fax

(207) 775-2702

NPI assigned

Jan 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Tracy K Giles, ODNPI 1821042854

Title

President

Phone

(207) 775-6533

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Giles Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 2

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

• Steven Paul Lary, OD

  • Optometrist
  • Portland, ME
  • NPI 1649351552
  Medicare reassignment NPD
• Tracy K Giles, O.D.

  • Optometrist
  • Portland, ME
  • NPI 1821042854
  NPD Authorized official

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1053902395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033628",
            "telephone_number": "207-775-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033628",
            "telephone_number": "207-775-6533",
            "fax_number": "207-775-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY K GILES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-775-6533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115510000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giles Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Maynard Townsend, LCPC
• Jessica Townsend, LCSW
• Alicia Tozier, PA
• Michael Tozier, MD
• Tracy George LLC
• Alexandra Tracy
• Tradecraft12 Inc.
• Christian David Trahan, CRNA
• Wyatt John Traina, D.M.D.
• Grace Marie Trainor, PT, DPT

• Optometrist in Portland, ME
• Providers in Portland, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.