Active NPI
Mobile Eye Care of Maine, LLC
- Optometrist
- Scarborough, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT842
- Legal business name
- MOBILE EYE CARE OF MAINE, LLC
- Practice address
- 21 Barley LN
Scarborough, ME 04074-8442 - Phone
- (207) 730-1269
- Fax
- (207) 883-2799
- NPI assigned
- Oct 22, 2007
- 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
- Dr. Matthew A Thees, O.D.
- Title
- Optometrist/Owner
- Phone
- (207) 730-1269
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT842 | ME | Primary |
Addresses
Primary practice location
21 Barley LN
Scarborough, ME 04074-8442
Mailing address
21 Barley LN
Scarborough, ME 04074-8442
Phone (207) 730-1269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080505000550 | ME | Part B Supplier - Clinic/Group Practice | 5294814059 |
Receives reassigned benefits from 2 practitioners Practice locations: Westbrook, ME; South Portland, ME; South Paris, ME; Scarborough, ME; Saco, ME; Portland, ME; Gorham, ME; Freeport, ME |
National Provider Directory
National Provider DirectoryLocations
4 Old County Road Ext
Freeport, ME 04032
Phone (207) 865-3500
1133 Washington Ave
Portland, ME 04103
Phone (207) 797-0600
477 High St
South Paris, ME 04281
Phone (207) 743-6300
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1619166014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BARLEY LN",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040748442",
"telephone_number": "207-730-1269",
"fax_number": "207-883-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BARLEY LN",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040748442",
"telephone_number": "207-730-1269",
"fax_number": "207-883-2799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE EYE CARE OF MAINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "THEES",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "207-730-1269",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "ME",
"license": "OPT842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.