Eye Center of Central Maine

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

013307 Issued in ME

Legal business name

EYE CENTER OF CENTRAL MAINE

Practice address

40 Airport Rd
Suite 1
Waterville, ME 04901-4501

Phone

(207) 873-6048

Fax

(207) 877-9513

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Peter C Kohler, MD

Title

Owner

Phone

(207) 873-6048

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

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

• Rochelle Jessica Hudson, O,D,

  • Optometrist
  • Waterville, ME
  • NPI 1063469195
  NPD (past)
• Kiran B Jones, OD

  • Optometrist
  • Newport, ME
  • NPI 1811941255
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1447447149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AIRPORT RD",
            "address_2": "SUITE 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014501",
            "telephone_number": "207-873-6048",
            "fax_number": "207-877-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AIRPORT RD",
            "address_2": "SUITE 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014501",
            "telephone_number": "207-873-6048",
            "fax_number": "207-877-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER OF CENTRAL MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-873-6048",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "013307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290130099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD",
            "identifier": "042733",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180043475",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "691518002",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2590268",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elm City Pharmacy
• Jen Emery
• Esthetic and Reconstructive Dentistry
• Mark Christopher Evans, LCPC
• Amy L Everett, RNFA
• Amie Fagan, PMHNP
• Family Medicine Associates of Waterville PA
• Kimberley R Fantasia, FNP
• Terrie Farris, HIS
• Christina Marie Fasse, PSY.D.

• All providers in Waterville, ME
• Ophthalmology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.