NPIMap

Organization Active NPI

Midcoast Eye Associates

Doing business as Midcoast Optical Services

  • Ophthalmology Physician
  • Brunswick, ME
National Provider Identifier
1104252238
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10700 Issued in ME
Legal business name
MIDCOAST EYE ASSOCIATES
Doing business as
Midcoast Optical Services
Practice address
8 Mason St
Brunswick, ME 04011-1514
Phone
(207) 729-7979
Fax
(207) 729-7979
NPI assigned
Sep 20, 2013
Last updated
Sep 20, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDCOAST EYE ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Authorized official

Name
Mr. Gregory G Gensheimer, M.DNPI 1740202621
Title
President
Phone
(207) 443-6626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Part of
Midcoast Eye Associates

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.