Organization Active NPI

Tere and Judy PA

Doing business as Tere K Porter OD

  • Optometrist
  • Norway, ME
National Provider Identifier
1659462174
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT502 Issued in ME
Legal business name
TERE AND JUDY PA
Doing business as
Tere K Porter OD
Practice address
66 Paris St
Norway, ME 04268-0206
Phone
(207) 743-6271
Fax
(207) 743-2119
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mr. Tere Kent Porter, ODNPI 1376723130
Title
Optometrist President
Phone
(207) 743-6271

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT502 ME Primary

Addresses

Primary practice location

66 Paris St
Norway, ME 04268-0206

Mailing address

PO Box 206
66 Paris St
Norway, ME 04268-0206
Phone (207) 743-6271

Other identifiers 6

IdentifierTypeStateIssuer
MN0075OtherHARVARD PILGRIM
ME0502OtherEYEMED
220953OtherCOLE MANAGE VISION
0624710001OtherMEDMERC
119862OtherANTHEM
1324328OtherCIGNA

Other names 1

  • Tere K Porter OD Doing business as

National Provider Directory

National Provider Directory

Locations

47 Paris St
Norway, ME 04268
Phone (207) 743-6271

66 Paris St
Norway, ME 04268
Phone (207) 743-6271

Practitioners & affiliated clinicians

Practitioners 1

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1659462174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "address_2": "66 PARIS ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042680206",
            "telephone_number": "207-743-6271",
            "fax_number": "207-743-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PARIS ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042680206",
            "telephone_number": "207-743-6271",
            "fax_number": "207-743-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERE AND JUDY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TERE",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OPTOMETRIST PRESIDENT",
        "authorized_official_telephone_number": "207-743-6271",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "MN0075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "ME0502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE MANAGE VISION",
            "identifier": "220953",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0624710001",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "119862",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1324328",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tere K Porter OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norway, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.