Individual provider Active NPI

Abigail Anne Delahanty, OD

  • Optometrist
  • South Portland, ME
National Provider Identifier
1790254134
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1002 Issued in ME
Practice address
510 Maine Mall
South Portland, ME 04106-3238
Phone
(207) 775-2030
Fax
(207) 775-0755
NPI assigned
Nov 15, 2018
Last updated
Nov 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1002 ME Primary

Addresses

Primary practice location

510 Maine Mall
South Portland, ME 04106-3238

Mailing address

510 Maine Mall
South Portland, ME 04106-3238
Phone (207) 775-2030

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
I20190130001450 ME Practitioner - Optometry 7113264052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Optometry PAGroup PAC ID 8022009117, 23 clinicians

Practice addresses (Care Compare)

14 Vista Dr
Suite 200
Gorham, ME 04038-5884
Phone (207) 729-8474

240 Main St
Saco, ME 04072-1509
Phone (207) 729-8474

656 Roosevelt TRL
Windham, ME 04062-5271
Phone (207) 729-8474

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1002MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Optometry PA Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Roger L. Bergeron, O.D.P.a. PastSince Apr 1, 2019 Accepting new patients
Arthur Chapman III OD PA Optometrist Past Accepting new patients

Locations

242 Bath Rd
Brunswick, ME 04011
Phone (207) 389-3525

407 US Route 1
Freeport, ME 04032
Phone (207) 865-2023

347 Main St
Ste D
Gorham, ME 04038
Phone (207) 839-2638

14 Vista Dr
Ste 200
Gorham, ME 04038

585 Main St
Lewiston, ME 04240
Phone (207) 784-0153

240 Main St
Saco, ME 04072

656 Roosevelt Trl
Windham, ME 04062
Phone (207) 389-3525

Interoperability endpoints

  • Direct secure messaging: abigaildelahanty@maineoptometry.eyefinity-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1790254134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MAINE MALL",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063238",
            "telephone_number": "207-775-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MAINE MALL",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063238",
            "telephone_number": "207-775-2030",
            "fax_number": "207-775-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAHANTY",
        "first_name": "ABIGAIL",
        "middle_name": "ANNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.