Sydney Ann Butalla, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT1088 Issued in ME

Practice address

152 Middle St
Portland, ME 04101-4123

Phone

(207) 775-1819

NPI assigned

May 24, 2024

Last updated

Jun 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyes on Rosemont LLCGroup PAC ID 0042359515, 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.

• Eyes on Rosemont LLC

  • Vision Therapy Optometrist
  • Portland, ME
  • NPI 1134353618
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1639918980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ROGERS RD UNIT 207",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327506",
            "telephone_number": "763-354-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MIDDLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014123",
            "telephone_number": "207-775-1819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Brighton Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022322",
            "country_code": "US",
            "telephone_number": "207-210-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTALLA",
        "first_name": "SYDNEY",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2025-06-11",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Warren Burt, M.D.
• Matija M Burtis, DO
• Danielle Burton
• Loren Bush, PSY.D.
• Jacob Joseph Buskirk, DO
• Mary Buteyn, RD
• Mark Stanley Butkus, LCSW
• Kelly Lynn Butler, M.A., LCPC, LADC
• Allison L. Buttarazzi, M.D.
• Christopher Mark Buttarazzi, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.