Maria Ennamorati, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT1072 Issued in ME

Practice address

580 Storer Mountain Rd
Waldoboro, ME 04572-5515

Phone

(617) 595-9928

NPI assigned

Jul 3, 2023

Last updated

Jul 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

New England College of Optometry, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Midcoast Eye Care, LLCGroup PAC ID 6002197613, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Midcoast Eye Care, LLC

  dba Damariscotta Eye Care

  • Optometrist
  • Rockport, ME
  • NPI 1659820439
  Medicare reassignment Care Compare group NPD
• Hoyt Eye Care Center, LLC

  • Ophthalmology Physician
  • Rockport, ME
  • NPI 1063605269
  NPD

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1639856594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 STORER MOUNTAIN RD",
            "city": "WALDOBORO",
            "state": "ME",
            "postal_code": "045725515",
            "telephone_number": "617-595-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 STORER MOUNTAIN RD",
            "city": "WALDOBORO",
            "state": "ME",
            "postal_code": "045725515",
            "telephone_number": "617-595-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNAMORATI",
        "first_name": "MARIA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Marley Dickens, MD
• Brian Christian Downing, MS, OTR/L
• Dr. Joseph P. Flanagan
• Eldercare Network of Lincoln County (WaldoboroGreen)
• Empower Care
• Brenda D Hamilton, LCSW
• Laurence Victor Hills, RN
• Alexis Ann Horton, PA
• Jill Maureen Huber, COTA
• Kawsar Jama

• Optometrist in Waldoboro, ME
• Providers in Waldoboro, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.