Organization Active NPI

Peter F Morse Inc

  • Optometrist
  • South Portland, ME
National Provider Identifier
1073621090
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PETER F MORSE INC
Practice address
213 Maine Mall
South Portland, ME 04106-3229
Phone
(207) 774-8008
Fax
(207) 774-0990
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Peter F Morse, O.D.
Title
Owner
Phone
(207) 774-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ME Primary

Addresses

Primary practice location

213 Maine Mall
South Portland, ME 04106-3229

Mailing address

213 Maine Mall
South Portland, ME 04106-3229
Phone (207) 774-8008

Other identifiers 1

IdentifierTypeStateIssuer
200460000MedicaidME

National Provider Directory

National Provider Directory

Locations

213 Maine Mall
#F
South Portland, ME 04106
Phone (207) 774-8008

213 Maine Mall
South Portland, ME 04106
Phone (207) 774-8008

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1073621090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MAINE MALL",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063229",
            "telephone_number": "207-774-8008",
            "fax_number": "207-774-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MAINE MALL",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063229",
            "telephone_number": "207-774-8008",
            "fax_number": "207-774-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER F MORSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-774-8008",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200460000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.