Timothy A Kearins, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT896 Issued in ME

Practice address

152 Middle St
Portland, ME 04101-4123

Phone

(207) 773-2020

Fax

(207) 775-2447

NPI assigned

Aug 24, 2007

Last updated

Aug 24, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Casco Bay Eyecare LLCGroup PAC ID 3274620562, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Casco Bay Eyecare LLC

  • Optometrist
  • South Portland, ME
  • NPI 1063401693
  Medicare reassignment Care Compare group NPD
• Casco Bay Eye Care LLC

  • Eyewear Supplier
  • Portland, ME
  • NPI 1508931361
  NPD (past)

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1093908816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7487",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041127487",
            "telephone_number": "207-885-8686",
            "fax_number": "207-883-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MIDDLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014123",
            "telephone_number": "207-773-2020",
            "fax_number": "207-775-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARINS",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aadya Kaushik, MD
• Laura Beatrice Kavesh, PHD
• Shadia Kawkabani, DO
• Daniyah Kazadi
• Hannah Rose Kazilionis, LCSW, LADC
• Raechell Kearney, OT
• Maureen A Keating, RN
• Laura Jane Keech, AUD
• Michele Keef, LMFT
• Cassandra Marie Keefe

• 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 Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.