Organization Active NPI

South Paris Eyecare, P.a.

  • Optometrist
  • South Paris, ME
National Provider Identifier
1487297073
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOUTH PARIS EYECARE, P.A.
Practice address
177 Main St Ste B
South Paris, ME 04281-1621
Phone
(207) 744-2447
NPI assigned
Oct 25, 2019
Last updated
Oct 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Dr. Robert Fulton Murray III, OD
Title
President
Phone
(207) 744-2447

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Corneal and Contact Management Optometrist 152WC0802X NU
Pediatric Optometrist 152WP0200X NU

Addresses

Primary practice location

177 Main St Ste B
South Paris, ME 04281-1621

Mailing address

177 Main St Ste B
South Paris, ME 04281-1621
Phone (207) 744-2447

National Provider Directory

National Provider Directory

Locations

177 Main St
#2
South Paris, ME 04281

177 Main St
Ste B
South Paris, ME 04281
Phone (207) 744-2447

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1487297073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 MAIN ST STE B",
            "city": "SOUTH PARIS",
            "state": "ME",
            "postal_code": "042811621",
            "telephone_number": "207-744-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MAIN ST STE B",
            "city": "SOUTH PARIS",
            "state": "ME",
            "postal_code": "042811621",
            "telephone_number": "207-744-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PARIS EYECARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FULTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-744-2447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Paris, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.