Mark E. Elkinson, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MARK E. ELKINSON, OD, PA

Practice address

200 Gorham Rd
Suite 940
South Portland, ME 04106-2409

Phone

(207) 761-9054

NPI assigned

Jan 1, 2013

Organization subpart

No

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

Authorized official

Name

Mark E Elkinson, O.D.NPI 1336233931

Title

Owner / Optometrist

Phone

(207) 761-9054

Specialties & licenses 1

Addresses

Other names 1

• Maine Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

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

• Mark E. Elkinson, OD PA

  • Optometrist
  • South Portland, ME
  • NPI 1336233931
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1124364765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GORHAM RD",
            "address_2": "SUITE 940",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062409",
            "telephone_number": "207-761-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GORHAM RD",
            "address_2": "SUITE 940",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062409",
            "telephone_number": "207-761-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. ELKINSON, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-01",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "ELKINSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER / OPTOMETRIST",
        "authorized_official_telephone_number": "207-761-9054",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maine Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maps
• Judith Hamlin March
• Margo Matthews, LCSW LLC
• Marissa Ryan DMD PLLC
• Samantha Maristany, LCSW LADC CCS LICSW
• Fiona Markley, LMT
• Sara Vilhelmina Markot, PT, DPT
• James Edward Marleau, RN
• Jon Marquis
• Mina Alexandria Marshall, LMSW-CC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.