Auburn Mall Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT725 Issued in ME

Legal business name

AUBURN MALL EYECARE

Practice address

550 Center St
Box 9040
Auburn, ME 04210-6305

Phone

(207) 782-5030

Fax

(207) 777-1179

NPI assigned

May 14, 2009

Last updated

May 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Albert Metayer, O.D.NPI 1861547937

Title

President

Phone

(207) 782-5030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael A Metayer, O.D.

  • Optometrist
  • Auburn, ME
  • NPI 1861547937
  NPD (past) Authorized official

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1396979696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CENTER ST",
            "address_2": "BOX 9040",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106305",
            "telephone_number": "207-782-5030",
            "fax_number": "207-777-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CENTER ST",
            "address_2": "BOX 9040",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106305",
            "telephone_number": "207-782-5030",
            "fax_number": "207-777-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN MALL EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "METAYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-782-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208820000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arcadia Health Services, Inc. (Arcadia Home Care & Staffing)
• Auburn Acupuncture (Auburn Acupuncture -Amanda Simmons)
• Auburn Chiropractic, P.a.
• Auburn Dentures & Implants PLLC
• Auburn Health Care Inc (Auburn Residential Care Center)
• Janine Marie Audet, LMT
• Roger N. Austin, M.D.
• Lee Averill, ATC, LAT, CSCS
• Rachel Averill
• Milton Ayer, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.