Southern Maine Eye Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTHERN MAINE EYE ASSOCIATES

Practice address

272 Cottage St
Sanford, ME 04073-1815

Phone

(207) 324-7946

Fax

(207) 636-5023

NPI assigned

Jan 31, 2013

Organization subpart

No

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

Authorized official

Name

Edward H Jaccoma, MD

Title

Physician/Owner

Phone

(207) 324-7946

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Noah Boutin, OD

  • Optometrist
  • Sanford, ME
  • NPI 1366013740
  NPD (past)

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1235478967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 COTTAGE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731815",
            "telephone_number": "207-324-7946",
            "fax_number": "207-636-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 COTTAGE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731815",
            "telephone_number": "207-324-7946",
            "fax_number": "207-636-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MAINE EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "JACCOMA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "207-324-7946",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Neil Simons, PT,DPT, MS,OCS
• Wendy Skahan, MS, OTR/L
• Julianne Smith, LCPC
• Natalie Solari, DMD
• Christian Thomas Sorenson, PA-C
• Southern Maine Health Care
• Southern Maine Health Care-Workwell
• Doris C Sparks, RN
• Lindsey D Sprague, PA
• William Steele, LMT

• Specialist in Sanford, ME
• Providers in Sanford, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.