Eyes, P.a.
Organization Active NPI Optometrist · Ellsworth, ME
NPI 1477564235 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1477564235
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- EYES, P.A.
- Practice address
- 82 Water Street
Ellsworth, ME 04605 - Phone
- (207) 667-8615
- Fax
- (207) 667-4212
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Benjamin Kent
- Title
- Administrator
- Phone
- (207) 667-8615
Other NPIs on the same Medicare enrollment 1
Practitioners 5
-
Jessica Barbay, O.D.
-
Kenneth John Wich, O.D.
-
David C. Haba, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050830000735 | ME | Part B Supplier - Clinic/Group Practice | 0345271284 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment Practice locations: Ellsworth, ME |
| O20100930027938 | ME | DME Supplier - Physician - Optometrist |
0345271284 | Practice locations: Ellsworth, ME |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
82 Water Street
Ellsworth, ME 04605
Mailing address
82 Water St
Ellsworth, ME 04605-2006
Phone (207) 667-8615
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125710000 | Medicaid | ME |
Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.