Andre B Achenbach, O.D.
Individual provider Active NPI Optometrist · Brunswick, ME
NPI 1376807263 · NPPES record last updated Jun 26, 2012
Key facts
- NPI
- 1376807263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT927 (ME)
- Practice address
- 82 Maine St
Brunswick, ME 04011-2015 - Phone
- (207) 729-8474
- Fax
- (207) 729-8955
- NPI assigned
- Jun 26, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maine Optometry PA
Practice addresses (Care Compare)
14 Vista Dr
Suite 200
Gorham, ME 04038-5884
Phone (207) 729-8474
242 Bath Rd
Brunswick, ME 04011-2646
Phone (207) 729-8474
585 Main St
Lewiston, ME 04240-5945
Phone (207) 729-8474
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 21 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121024000401 | ME | Practitioner - Optometry | 5395995567 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Optometry PA | Optometrist | Current |
Accepting new patients |
| Arthur Chapman III OD PA | Optometrist | Past | Accepting new patients |
| Roger L. Bergeron, O.D.P.a. | Past | Accepting new patients |
Locations
242 Bath Rd
Brunswick, ME 04011
Phone (207) 389-3525
82 Maine St
Brunswick, ME 04011
407 US Route 1
Freeport, ME 04032
Phone (207) 865-2023
14 Vista Dr
Ste 200
Gorham, ME 04038
347 Main St
Ste D
Gorham, ME 04038
Phone (207) 839-2638
14 Vista Dr
Gorham, ME 04038
585 Main St
Lewiston, ME 04240
Phone (207) 784-0153
Interoperability endpoints
- andreachenbach@maineoptometry.eyefinity-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT927 | ME | Yes |
Addresses
Primary practice location
82 Maine St
Brunswick, ME 04011-2015
Mailing address
82 Maine St
Brunswick, ME 04011-2015
Phone (207) 729-8474
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.