Active NPI
Elizabeth A Morse, OPTICIAN
- Optician
- Brewer, ME
National Provider Identifier
1487898508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- CERTIFICATE #157491
- Practice address
- 272 State Street
Optical Outlet, LLC
Brewer, ME 04412 - Phone
- (207) 992-9172
- Fax
- (207) 992-2401
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | CERTIFICATE #157491 | ME | Primary |
Addresses
Primary practice location
272 State Street
Optical Outlet, LLC
Brewer, ME 04412
Mailing address
272 State Street
Optical Outlet, LLC
Brewer, ME 04412
Phone (207) 992-9172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433093600 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CERTIFICATE #157491 | ME | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1487898508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 STATE STREET",
"address_2": "OPTICAL OUTLET, LLC",
"city": "BREWER",
"state": "ME",
"postal_code": "04412",
"telephone_number": "207-992-9172",
"fax_number": "207-992-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 STATE STREET",
"address_2": "OPTICAL OUTLET, LLC",
"city": "BREWER",
"state": "ME",
"postal_code": "04412",
"telephone_number": "207-992-9172",
"fax_number": "207-992-2401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORSE",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "ME",
"license": "CERTIFICATE #157491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433093600",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brewer, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.