Active NPI
Ellsworth Uveitis & Retina Care, PA
- Ophthalmology Physician
- Ellsworth, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 015633
- Legal business name
- ELLSWORTH UVEITIS & RETINA CARE, PA
- Practice address
- 35 Eastward LN
Ellsworth, ME 04605-1744 - Phone
- (207) 669-4390
- Fax
- (207) 669-4363
- NPI assigned
- Sep 3, 2008
- Last updated
- Apr 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas E Flynn, MD
- Title
- Physician
- Phone
- (207) 669-4390
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 015633 | ME | Primary |
Addresses
Primary practice location
35 Eastward LN
Ellsworth, ME 04605-1744
Mailing address
35 Eastward LN
Ellsworth, ME 04605-1744
Phone (207) 669-4390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
885 Union St
Ste 120
Bangor, ME 04401
Phone (207) 947-6743
35 Eastward Ln
Ellsworth, ME 04605
Phone (207) 669-4390
Interoperability endpoints
- tflynn@eurc.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Ophthalmology Physician
- Ellsworth, ME
- NPI 1821106147
-
- Ophthalmology Physician
- Bangor, ME
- NPI 1447465737
-
- Rheumatology Physician
- Ellsworth, ME
- NPI 1326263674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492992000000",
"number": "1700034857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 EASTWARD LN",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046051744",
"telephone_number": "207-669-4390",
"fax_number": "207-669-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 EASTWARD LN",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046051744",
"telephone_number": "207-669-4390",
"fax_number": "207-669-4363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLSWORTH UVEITIS & RETINA CARE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-03",
"last_updated": "2017-04-24",
"status": "A",
"authorized_official_last_name": "FLYNN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "207-669-4390",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ME",
"license": "015633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.