NPIMap

Organization Active NPI

Cec, LLC

  • Ophthalmology Physician
  • Ellsworth, ME
National Provider Identifier
1376900720
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CEC, LLC
Practice address
128 Bucksport Rd
Suite B
Ellsworth, ME 04605-2239
Phone
(207) 667-6300
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Authorized official

Name
Lawrence PiazzaNPI 1881660116
Title
Medical Director
Phone
(615) 843-4109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

128 Bucksport Rd
Suite B
Ellsworth, ME 04605-2239

Mailing address

401 Commerce St
Suite a
Nashville, TN 37219-2446
Phone (615) 843-4109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160628000585 ME Part B Supplier - Clinic/Group Practice 3375834039 Receives reassigned benefits from 19 practitioners
Practice locations: Ellsworth, ME

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

  • Cesc, LLC
    • Ambulatory Surgical Clinic/Center
    • Ellsworth, ME
    • NPI 1063878734

    Member Of

    NPD member

Locations

128 Bucksport Rd
#B
Ellsworth, ME 04605
Phone (207) 667-6300

401 Commerce St
Ste A
Nashville, TN 37219

Interoperability endpoints

  • Direct secure messaging: irudloe@coastaleye.intellechartdirect.net
  • Direct secure messaging: lpiazza@coastaleye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1376900720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST",
            "address_2": "SUITE A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192446",
            "telephone_number": "615-843-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BUCKSPORT RD",
            "address_2": "SUITE B",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052239",
            "telephone_number": "207-667-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "PIAZZA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-843-4109"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.