Active NPI
Midcoast Eye Associates
- Ophthalmology Physician
- Brunswick, ME
National Provider Identifier
1104252238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 10700
- Legal business name
- MIDCOAST EYE ASSOCIATES
- Practice address
- 8 Mason St
Brunswick, ME 04011-1514 - Phone
- (207) 729-7979
- Fax
- (207) 729-7979
- NPI assigned
- Sep 20, 2013
- Organization subpart
- Yes
- Parent organization
- MIDCOAST EYE ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory G Gensheimer, M.D
- Title
- President
- Phone
- (207) 443-6626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 10700 | ME | Primary |
Addresses
Primary practice location
8 Mason St
Brunswick, ME 04011-1514
Mailing address
130 Centre St
Bath, ME 04530-2599
Phone (207) 443-8141
Other names 1
- Midcoast Optical Services
National Provider Directory
National Provider Directory- Part of
- Midcoast Eye Associates
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379635200000",
"number": "1104252238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CENTRE ST",
"city": "BATH",
"state": "ME",
"postal_code": "045302599",
"telephone_number": "207-443-8141",
"fax_number": "207-443-8142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 MASON ST",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040111514",
"telephone_number": "207-729-7979",
"fax_number": "207-729-7979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDCOAST EYE ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDCOAST EYE ASSOCIATES",
"enumeration_date": "2013-09-20",
"last_updated": "2013-09-20",
"status": "A",
"authorized_official_last_name": "GENSHEIMER",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-443-6626",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "ME",
"license": "10700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Midcoast Optical Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.