Individual provider Active NPI

Mary Catherine Markovic, OD

  • Optometrist
  • Ellsworth, ME
National Provider Identifier
1619546306
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1042 Issued in ME
Practice address
82 Water St
Ellsworth, ME 04605-2006
Phone
(207) 667-8615
NPI assigned
Jun 17, 2021
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1042 ME Primary

Addresses

Primary practice location

82 Water St
Ellsworth, ME 04605-2006

Mailing address

36 Union St
Ellsworth, ME 04605-1534

Other names 1

  • Mary Catherine Townsend Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913003146 ME Practitioner - Optometry 4082010210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyes PAGroup PAC ID 0345271284, 3 clinicians

Practice addresses (Care Compare)

82 Water St
Ellsworth, ME 04605-2006
Phone (207) 667-8615

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1042MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes, P.a. Optometrist CurrentSince Oct 12, 2024 Accepting new patients
Eyes, P.a. Optometrist CurrentSince Oct 12, 2024 Accepting new patients

Locations

82 Water St
Ellsworth, ME 04605
Phone (207) 667-8615

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1619546306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 UNION ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 WATER ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052006",
            "telephone_number": "207-667-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOVIC",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "TOWNSEND",
            "middle_name": "CATHERINE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellsworth, ME

Sources for this page

Verify at the official NPI Registry.