Optometric Associates PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTOMETRIC ASSOCIATES PA

Practice address

168 East Ave
Lewiston, ME 04240-5626

Phone

(207) 784-3564

Fax

(207) 782-2541

NPI assigned

May 31, 2007

Last updated

Jan 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda S. Boudreau

Title

Office Manager

Phone

(207) 784-3564

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

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.

• Abigail Rose Carr

  • Optometrist
  • Lewiston, ME
  • NPI 1467010504
  Medicare reassignment Care Compare group NPD
• Stephen Lewis Ebersole, OD

  • Optometrist
  • Lewiston, ME
  • NPI 1235174889
  Medicare reassignment Care Compare group NPD
• Melissa Sue Frank, O.D.

  • Optometrist
  • Aubrun, ME
  • NPI 1649476698
  Medicare reassignment Care Compare group NPD
• Douglas J. Henry, O.D.

  • Optometrist
  • Lewiston, ME
  • NPI 1750377958
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1205038544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 EAST AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405626",
            "telephone_number": "207-784-3564",
            "fax_number": "207-782-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 EAST AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405626",
            "telephone_number": "207-784-3564",
            "fax_number": "207-782-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "BOUDREAU",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-784-3564",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": null,
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "ME",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.