Individual provider Active NPI

Carina L. Orcutt, O.D.

  • Optometrist
  • Calais, ME
National Provider Identifier
1407004864
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT900 Issued in ME
Practice address
4 Park St
Calais, ME 04619-1609
Phone
(207) 454-2277
Fax
(207) 454-2910
NPI assigned
Aug 28, 2008
Last updated
Jan 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT900 ME Primary

Addresses

Primary practice location

4 Park St
Calais, ME 04619-1609

Mailing address

4 Park St
Calais, ME 04619-1609
Phone (207) 454-2277

Other names 1

  • Miss Carina L. Moe Former name

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
I20081015000085 ME Practitioner - Optometry 7719045020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Eye Care PA Optometrist CurrentSince Sep 1, 2010 Accepting new patients
Sunrise Eye Care PA Optometrist CurrentSince Sep 1, 2010 Accepting new patients
Hallowell & Macmannis, O.D., P.a. Optometrist Past Accepting new patients

Locations

4 Park St
Calais, ME 04619
Phone (207) 454-2277

19 Court St
Machias, ME 04654
Phone (207) 255-4412

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1407004864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191609",
            "telephone_number": "207-454-2277",
            "fax_number": "207-454-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191609",
            "telephone_number": "207-454-2277",
            "fax_number": "207-454-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORCUTT",
        "first_name": "CARINA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARINA",
            "last_name": "MOE",
            "middle_name": "L.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calais, ME

Sources for this page

Verify at the official NPI Registry.