Juliann Kandra, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT967 Issued in ME

Legal business name

JULIANN KANDRA, OD, PC

Doing business as

Family Eye Care

Practice address

323 Main St
Saco, ME 04072-1514

Phone

(207) 284-6791

Fax

(207) 283-0309

NPI assigned

Oct 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Juliann Kandra, ODNPI 1669469052

Title

President

Phone

(480) 818-8732

Specialties & licenses 1

Addresses

Other names 1

• Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Practitioners 1

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

• Juliann Kandra, O.D.

  • Optometrist
  • Saco, ME
  • NPI 1669469052
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495411200000",
    "number": "1164894135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721514",
            "telephone_number": "207-284-6791",
            "fax_number": "207-283-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721514",
            "telephone_number": "207-284-6791",
            "fax_number": "207-283-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIANN KANDRA, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2017-05-22",
        "status": "A",
        "authorized_official_last_name": "KANDRA",
        "authorized_official_first_name": "JULIANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-818-8732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jo Bernice Johnson, M.D.
• Victoria Johnson, OD
• Michelle Marie Joubert, MA, BC-DMT, CHC
• Wendy L Joy, LCSW
• Judy Welch MD PA
• Juliann Kandra, O.D.
• Shannon S. Kane, LCSW
• Marc Kaplan, D.O.
• Halley M Karlok
• Kathleen St. James, LCSW

• Optometrist in Saco, ME
• Providers in Saco, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.