Organization Active NPI

The Iris Network

  • Low Vision Rehabilitation Optometrist
  • Portland, ME
National Provider Identifier
1548273147
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.