Robert W Banglmaier, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT812 Issued in ME

Practice address

770 Congress St
Portland, ME 04102-3323

Phone

(207) 772-8384

Fax

(207) 773-0020

NPI assigned

Oct 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

University of California - School of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Casco Bay Eyecare LLCGroup PAC ID 3274620562, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Casco Bay Eyecare LLC

  • Optometrist
  • South Portland, ME
  • NPI 1063401693
  Medicare reassignment Care Compare group NPD
• Casco Bay Eyecare LLC

  • Eyewear Supplier
  • Portland, ME
  • NPI 1073688826
  NPD (past)
• Casco Bay Eyecare LLC

  • Eyewear Supplier
  • Falmouth, ME
  • NPI 1164597928
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1659360345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7487",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041127487",
            "telephone_number": "207-885-8686",
            "fax_number": "207-883-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023323",
            "telephone_number": "207-772-8384",
            "fax_number": "207-773-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGLMAIER",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295870099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine D. Baltes, L.C.S.W.
• Katherine Balzano-Cowan, CRNA
• Michael Christopher Banas, CRNA
• John D. Bancroft, MD
• Thomas Samuel Bander, MD
• Valerie Catherine Banks, MS, CGC
• Annika Bannon, MD
• Jordan Baran
• Dylan Barash, MD
• Catherine Barbarits, LCPC-C

• 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 Jan 19, 2012; 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.