Northeast Eyecare, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT797 Issued in ME

Legal business name

NORTHEAST EYECARE, INC.

Doing business as

Eye Center Northeast

Practice address

955 Broadway
Bangor, ME 04401

Phone

(207) 990-4388

Fax

(207) 947-9241

NPI assigned

Sep 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David T Douglass, O.D.NPI 1417949678

Title

Owner

Phone

(207) 990-4388

Specialties & licenses 1

Addresses

Other names 1

• Eye Center Northeast Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Thomas Douglass, OD

  • Optometrist
  • Bangor, ME
  • NPI 1417949678
  Medicare reassignment Care Compare group NPD Authorized official
• Chloe Carolyn Douglass, OD

  • Optometrist
  • Bangor, ME
  • NPI 1669055588
  Medicare reassignment Care Compare group NPD
• Ian Milton Jones, OD

  • Optometrist
  • Newport, ME
  • NPI 1992797179
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1467601872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-990-4388",
            "fax_number": "207-947-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-990-4388",
            "fax_number": "207-947-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "DOUGLASS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-990-4388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Center Northeast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Annette Normand, DPT
• Seann Norris, LMSW-CC
• Northeast Cardiology Associates
• Northeast Chiropractic Center
• Northeast Chiropractic Center PA
• Northeast Nephrology PA
• Northeast Neurosurgery, P.a.
• Northeast Occupational Exchange, Inc
• Northeast Oral & Maxillofacial Surgery Associates P.a.
• Northeast Pain Management, PC

• Optometrist in Bangor, ME
• Providers in Bangor, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.

Verify at the official NPI Registry.