Individual provider Active NPI

Tricia Lynn Pirone, OD

  • Optometrist
  • Portland, ME
National Provider Identifier
1417025503
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
24666 Issued in ME
Practice address
595 Brighton Ave
Portland, ME 04102-2322
Phone
(207) 210-6700
Fax
(207) 899-3239
NPI assigned
Nov 30, 2006
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 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 24666 ME Primary

Addresses

Primary practice location

595 Brighton Ave
Portland, ME 04102-2322

Mailing address

595 Brighton Ave
Portland, ME 04102-2322
Phone (207) 210-6700

Other identifiers 3

IdentifierTypeStateIssuer
AA65757OtherMEHARVARD PILGRIM
109280499MedicaidME
100521OtherMEANTHEM

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
I20060215000559 ME Practitioner - Optometry 6406861285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyes on Rosemont LLCGroup PAC ID 0042359515, 4 clinicians

Practice addresses (Care Compare)

152 Middle St
Portland, ME 04101-4123
Phone (207) 775-1819

595 Brighton Ave
Portland, ME 04102-2322
Phone (207) 210-6700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
24666MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Rosemont LLC CurrentSince Oct 16, 2011 Accepting new patients
Eyes on Rosemont LLC Optometrist Current Accepting new patients

Locations

152 Middle St
Portland, ME 04101
Phone (207) 773-2020

595 Brighton Ave
Portland, ME 04102
Phone (207) 210-6700

Organizations & group practices 2

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1417025503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022322",
            "telephone_number": "207-210-6700",
            "fax_number": "207-899-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022322",
            "telephone_number": "207-210-6700",
            "fax_number": "207-899-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRONE",
        "first_name": "TRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "24666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA65757",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109280499",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "100521",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.