Individual provider Active NPI

Catherine A Hildreth, O.D.

  • Corneal and Contact Management Optometrist
  • Brunswick, ME
National Provider Identifier
1306406525
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPT1012 Issued in ME
Practice address
331 Maine St Ste 1
Brunswick, ME 04011-3359
Phone
(207) 725-2161
Fax
(207) 725-9189
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPT1012 ME Primary

Addresses

Primary practice location

331 Maine St Ste 1
Brunswick, ME 04011-3359

Mailing address

331 Maine St Ste 1
Brunswick, ME 04011-3359
Phone (207) 725-2161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address teresa@brunswickeyecare.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190705000313 ME Practitioner - Optometry 4082949516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brunswick Eye Care Associates PAGroup PAC ID 6002866753, 3 clinicians

Practice addresses (Care Compare)

331 Maine St
Suite 1
Brunswick, ME 04011-3359
Phone (207) 725-2161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1012MEMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Eye Care Associates, PA CurrentSince Jun 19, 2019 Accepting new patients

Locations

331 Maine St
Ste 1
Brunswick, ME 04011
Phone (207) 725-2161

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.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1306406525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MAINE ST STE 1",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113359",
            "telephone_number": "207-725-2161",
            "fax_number": "207-725-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MAINE ST STE 1",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113359",
            "telephone_number": "207-725-2161",
            "fax_number": "207-725-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ME",
            "license": "OPT1012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "teresa@brunswickeyecare.com",
            "affiliation": "N",
            "address_1": "331 Maine St Ste 1",
            "city": "Brunswick",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040113359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.