McCormick and Bouchard Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MCCORMICK AND BOUCHARD EYE CARE, LLC

Practice address

5 Edwards Ave
Damariscotta, ME 04543-4252

Phone

(207) 563-3049

Fax

(207) 563-3904

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Bouchard, ODNPI 1770522047

Title

Owner

Phone

(207) 563-8064

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Coastal Family Eye Care Doing business as
• Coastal Family Eye Care LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 4

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

• Michelle M Bouchard, OD

  • Optometrist
  • Damariscotta, ME
  • NPI 1770522047
  Medicare reassignment Care Compare group NPD Authorized official
• William Scott Beveridge, O.D.

  • Optometrist
  • Damariscotta, ME
  • NPI 1346866068
  Medicare reassignment Care Compare group NPD
• John T McCormick, OD

  • Optometrist
  • Damariscotta, ME
  • NPI 1154360428
  NPD
• Kathryn R Beveridge, OD

  • Optometrist
  • Bangor, ME
  • NPI 1881633154
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1255526323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EDWARD 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": {
        "organization_name": "MCCORMICK AND BOUCHARD EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-563-8064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133230000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Family Eye Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zoe Mather
• Kristin Lynn Maxsimic, PT
• Marsha O. May, OT/L
• Jillian Bari McAuliffe, LCSW
• Derek Christopher McConnell, PHARM.D.
• John T McCormick, OD
• Richard Carson McFaul, M.D.
• Meomyo
• Alexander L Mesrobian, MD
• Mid Coast Foot & Ankle PC

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

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.