Individual provider Active NPI

Alexandra Grotton

  • Optometrist
  • Augusta, ME
National Provider Identifier
1447600986
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT971 Issued in ME
Practice address
58 State St
Augusta, ME 04330-5124
Phone
(207) 623-5099
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT971 ME Primary

Addresses

Primary practice location

58 State St
Augusta, ME 04330-5124

Mailing address

58 State St
Augusta, ME 04330-5124
Phone (207) 623-5099

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
I20160726000359 ME Practitioner - Optometry 4385937531 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerbrook Plaza Eye Care P aGroup PAC ID 6406033778, 3 clinicians
Maine Optometry PAGroup PAC ID 8022009117, 23 clinicians

Practice addresses (Care Compare)

1040 Brighton Ave
Portland, ME 04102-1030
Phone (207) 253-5333

14 Vista Dr
Suite 200
Gorham, ME 04038-5884
Phone (207) 729-8474

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT971MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Care, P.a. Optometrist CurrentSince Jan 1, 2019 Accepting new patients
Cornerbrook Plaza Eye Care P a Optometrist CurrentSince Feb 23, 2018 Accepting new patients
Maine Optometry PA Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Dale Rodrigue Eyecare Center, Inc Optometrist CurrentSince Jun 15, 2016 Accepting new patients

Locations

58 State St
Augusta, ME 04330
Phone (207) 623-5099

242 Bath Rd
Brunswick, ME 04011
Phone (207) 389-3525

14 Vista Dr
Ste 200
Gorham, ME 04038

347 Main St
Ste D
Gorham, ME 04038
Phone (207) 839-2638

1040 Brighton Ave
Portland, ME 04102
Phone (207) 253-5333

272 Cottage St
Sanford, ME 04073
Phone (207) 324-8888

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1447600986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 STATE ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305124",
            "telephone_number": "207-623-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 STATE ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305124",
            "telephone_number": "207-623-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTTON",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.