Active NPI
Brunswick Eye Care Associates, PA
- Optometrist
- Brunswick, ME
National Provider Identifier
1467533588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT661
- Legal business name
- BRUNSWICK EYE CARE ASSOCIATES, PA
- Practice address
- 331 Maine St
Suite 1
Brunswick, ME 04011-3358 - Phone
- (207) 725-2161
- Fax
- (207) 725-9189
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian L Daniels, O.D.
- Title
- President
- Phone
- (207) 725-2161
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT661 | Primary | |
| Optometrist | 152W00000X | OPT618 | ME | |
| Optometrist | 152W00000X | OPT787 | ||
| Ophthalmology Physician | 207W00000X | 011131 | ME |
Addresses
Primary practice location
331 Maine St
Suite 1
Brunswick, ME 04011-3358
Mailing address
331 Maine St
Suite 1
Brunswick, ME 04011-3358
Phone (207) 725-2161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111880000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
331 Maine St
Ste 1
Brunswick, ME 04011
Phone (207) 725-2161
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Brunswick, ME
- NPI 1306406525
-
- Optometrist
- Brunswick, ME
- NPI 1912347550
-
- Optometrist
- Brunswick, ME
- NPI 1699405936
-
- Optometrist
- Cornish, ME
- NPI 1831171206
-
- Optometrist
- Augusta, ME
- NPI 1982616819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303776000000",
"number": "1467533588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 MAINE ST",
"address_2": "SUITE 1",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113358",
"telephone_number": "207-725-2161",
"fax_number": "207-725-9189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 MAINE ST",
"address_2": "SUITE 1",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113358",
"telephone_number": "207-725-2161",
"fax_number": "207-725-9189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUNSWICK EYE CARE ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2011-04-26",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-725-2161",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": "OPT661",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "ME",
"license": "OPT618",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": "OPT787",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "ME",
"license": "011131",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111880000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
- Allison Louise Brown, FNP
- Zachary Scott Brown, LCSW
- Brunswick Dental Group LLC
- Brunswick Dental Health Assoc
- Brunswick Dentistry PLLC
- Brunswick Foot & Ankle Center, LLC
- Brunswick Gastroenterology Associates
- Brunswick Medical Center Pharmacy at Parkview
- Brunswick Medical Center Pharmacy at Senior Health Center
- Brunswick Medical Center Pharmacy at Senior Health Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.