Individual provider Active NPI

Eric Shane Lehouillier, O.D.

  • Optometrist
  • Biddeford, ME
National Provider Identifier
1376890822
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT931 Issued in ME
Practice address
311 Alfred St
Biddeford, ME 04005-3127
Phone
(207) 284-6651
NPI assigned
Aug 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT931 ME Primary

Addresses

Primary practice location

311 Alfred St
Biddeford, ME 04005-3127

Mailing address

916 Old Post Rd
Arundel, ME 04046-7912
Phone (207) 468-0236

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
I20120928000020 ME Practitioner - Optometry 3173772555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Optometric Associates of Southern Maine PLLCGroup PAC ID 4486053782, 3 clinicians

Practice addresses (Care Compare)

35 Barra Rd
Biddeford, ME 04005-9459
Phone (207) 284-6651

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Associates of Southern Maine PLLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Vision Care of Maine LLC PastSince May 1, 2013 Accepting new patients
Robert J. Bolduc, Optometrist, P.a. Past Accepting new patients

Locations

35 Barra Rd
Biddeford, ME 04005
Phone (207) 284-6651

Organizations & group practices 3

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": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1376890822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 OLD POST RD",
            "city": "ARUNDEL",
            "state": "ME",
            "postal_code": "040467912",
            "telephone_number": "207-468-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053127",
            "telephone_number": "207-284-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHOUILLIER",
        "first_name": "ERIC",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.