Active NPI
The Iris Network
- Low Vision Rehabilitation Optometrist
- Portland, ME
National Provider Identifier
1548273147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- Legal business name
- THE IRIS NETWORK
- Practice address
- 189 Park Ave
Portland, ME 04102-2909 - Phone
- (207) 774-6273
- Fax
- (207) 774-0679
- NPI assigned
- Aug 14, 2006
- Last updated
- Jun 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Trabold
- Title
- Dir. of Finance & Admin
- Phone
- (207) 774-6273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | NU | Primary |
Addresses
Primary practice location
189 Park Ave
Portland, ME 04102-2909
Mailing address
189 Park Ave
Portland, ME 04102-2909
Phone (207) 774-6273
National Provider Directory
National Provider DirectoryLocations
189 Park Ave
Portland, ME 04102
Phone (207) 774-6273
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Occupational Therapist
- Portland, ME
- NPI 1003005968
-
- Occupational Therapist
- South Portland, ME
- NPI 1649202680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371081600000",
"number": "1548273147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 PARK AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022909",
"telephone_number": "207-774-6273",
"fax_number": "207-774-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 PARK AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022909",
"telephone_number": "207-774-6273",
"fax_number": "207-774-0679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE IRIS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2013-06-13",
"status": "A",
"authorized_official_last_name": "TRABOLD",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "DIR. OF FINANCE & ADMIN",
"authorized_official_telephone_number": "207-774-6273"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.