Poulin & Associates Eye Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT712 Issued in ME

Legal business name

POULIN & ASSOCIATES EYE CENTER

Practice address

166 Silver St
Waterville, ME 04901-5815

Phone

(207) 873-3500

Fax

(207) 873-6167

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Philip R Poulin, OD

Title

Owner

Phone

(207) 873-3500

Specialties & licenses 1

Addresses

Other identifiers 4

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

CLIA laboratory certificates

Practitioners 1

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

• Christopher Cockrum White, O.D.

  • Optometrist
  • Flowood, MS
  • NPI 1073516456
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1336243963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015815",
            "telephone_number": "207-873-3500",
            "fax_number": "208-787-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015815",
            "telephone_number": "207-873-3500",
            "fax_number": "207-873-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POULIN & ASSOCIATES EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "POULIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-873-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB6080",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "MNT901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M23104",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403780000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda S Pooler, LMT
• Kristine Popelka, MS ATC
• Trixie Lee Porter, LMSW-CC
• Elizabeth Pierce Potter
• Thomas Riley Potter, MD
• Poulin Optician Inc
• Alex Poulin
• Philip Ralph Poulin, O.D.
• Prestige Care Group
• Helen T Price-Wharff, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.