Active NPI
John T McCormick, OD
- Optometrist
- Damariscotta, ME
National Provider Identifier
1154360428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT762A
- Practice address
- 5 Edwards Ave
Damariscotta, ME 04543-4252 - Phone
- (207) 563-3049
- Fax
- (207) 563-3904
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT762A | ME | Primary |
Addresses
Primary practice location
5 Edwards Ave
Damariscotta, ME 04543-4252
Mailing address
5 Edwards Ave
Damariscotta, ME 04543-4252
Phone (207) 563-3049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264110099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050705000214 | ME | Practitioner - Optometry | 4183660871 |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5 Edward Ave
Damariscotta, ME 04543-4252
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT762A | ME | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCormick and Bouchard Eye Care, LLC | Optometrist | Current | Accepting new patients |
Locations
5 Edwards Ave
Damariscotta, ME 04543
Phone (207) 563-3049
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Damariscotta, ME
- NPI 1255526323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1154360428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 EDWARDS AVE",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "045434252",
"telephone_number": "207-563-3049",
"fax_number": "207-563-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 EDWARDS AVE",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "045434252",
"telephone_number": "207-563-3049",
"fax_number": "207-563-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "JOHN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "OPT762A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264110099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Damariscotta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.