Retina & Uveitis Consultants of Maine

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

MD21285 Issued in ME

Legal business name

RETINA & UVEITIS CONSULTANTS OF MAINE

Practice address

336 Mount Hope Ave Ste 1
Bangor, ME 04401-4236

Phone

(207) 573-1509

Fax

(207) 573-1570

NPI assigned

Jun 1, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony S. Ekong, MDNPI 1336171875

Title

Sole Owner

Phone

(207) 573-1509

Specialties & licenses 2

Addresses

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.

• Anthony S Ekong, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Bangor, ME
  • NPI 1336171875

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Tracey Durkovich Clark, DO

  • Ophthalmology Physician
  • Bangor, ME
  • NPI 1437314127
  NPD (past)
• Timber H Gorman, MD

  • Ophthalmology Physician
  • Trenton, ME
  • NPI 1619933215
  NPD (past)

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487182580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 MOUNT HOPE AVE STE 1",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014236",
            "telephone_number": "207-573-1509",
            "fax_number": "207-573-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 MOUNT HOPE AVE STE 1",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014236",
            "telephone_number": "207-573-1509",
            "fax_number": "207-573-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA & UVEITIS CONSULTANTS OF MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EKONG",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "207-573-1509",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "ME",
            "license": "MD21285",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "ME",
            "license": "MD21285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Remick, FNP
• David Renedo, M.D.
• Residential Care Services of Maine
• Respiratory Care of Maine PA
• Restoration Health LLC (Restorative Health LLC)
• Revival LLC
• Diane Marion Reynolds, PA-C
• Herbert Allen Reynolds III, OTA
• Jaclyn Taylor Reynolds, PMHNP
• Emily Marie Rhodes, LCPC-C

• Retina Specialist (Ophthalmology) Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Retina Specialist (Ophthalmology) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.