NPIMap

Organization Active NPI

Mountain View Eyecare, P.a.

  • Optometrist
  • Rumford, ME
National Provider Identifier
1659516193
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MOUNTAIN VIEW EYECARE, P.A.
Practice address
56 Franklin St
Rumford, ME 04276-2060
Phone
(207) 364-4491
Fax
(207) 364-4015
NPI assigned
Dec 12, 2008
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Peter C. Everett, O.D.NPI 1801855796
Title
Owner
Phone
(207) 364-4491

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

56 Franklin St
Rumford, ME 04276-2060

Mailing address

56 Franklin St
PO Box 310
Rumford, ME 04276-2060
Phone (207) 364-4491

Other identifiers 3

IdentifierTypeStateIssuer
433491100MedicaidME
123560000MedicaidME
CJ3332OtherMERR MEDICARE

Other names 1

  • Kirn, Everett & Cameron, Optometrists Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090122000329 ME Part B Supplier - Clinic/Group Practice 5395809172 Receives reassigned benefits from 5 practitioners
Practice locations: Bethel, ME; Rumford, ME
O20100930022144 ME DME Supplier - Physician - Optometrist 5395809172 Practice locations: Rumford, ME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mountain View Eyecare, P.a.56 Franklin St, Rumford, ME 04276-2042(207) 364-4491 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 2, 2009

National Provider Directory

National Provider Directory

Locations

56 Franklin St
Rumford, ME 04276
Phone (207) 364-4491

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1659516193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "address_2": "PO BOX 310",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762060",
            "telephone_number": "207-364-4491",
            "fax_number": "207-364-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762060",
            "telephone_number": "207-364-4491",
            "fax_number": "207-364-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW EYECARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-364-4491",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433491100",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123560000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ3332",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirn, Everett & Cameron, Optometrists",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rumford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.