Individual provider Active NPI

Amber Christine Caron, OD

  • Optometrist
  • Fort Kent, ME
National Provider Identifier
1760845291
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT996 Issued in ME
Practice address
12 Bolduc Ave
Fort Kent, ME 04743-1602
Phone
(207) 834-3124
Fax
(207) 834-3127
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT996 ME Primary

Addresses

Primary practice location

12 Bolduc Ave
Fort Kent, ME 04743-1602

Mailing address

12 Bolduc Ave
Fort Kent, ME 04743-1602
Phone (207) 834-3124

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181008002973 ME Practitioner - Optometry 6709138415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fish River Rural HealthGroup PAC ID 3577531953, 21 clinicians

Practice addresses (Care Compare)

12 Bolduc Ave
Fort Kent, ME 04743-1602
Phone (207) 444-5973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT996MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fish River Rural Health Current Accepting new patients
Fish River Rural Health CurrentSince Sep 1, 2018 Accepting new patients
Fish River Rural Health CurrentSince Sep 1, 2018 Accepting new patients

Locations

10 Carter St
Eagle Lake, ME 04739
Phone (207) 444-5973

12 Bolduc Ave
Fort Kent, ME 04743
Phone (207) 834-3012

3 Mountainview Dr
Fort Kent, ME 04743
Phone (207) 834-1573

309 Saint Thomas St
Ste 213
Madawaska, ME 04756
Phone (207) 728-3971

Interoperability endpoints

  • Direct secure messaging: amber.huleva.1@10077.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1760845291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BOLDUC AVE",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431602",
            "telephone_number": "207-834-3124",
            "fax_number": "207-834-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BOLDUC AVE",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431602",
            "telephone_number": "207-834-3124",
            "fax_number": "207-834-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARON",
        "first_name": "AMBER",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Kent, ME

Sources for this page

Verify at the official NPI Registry.