Boldcoast Eyecare, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP805 Issued in ME

Legal business name

BOLDCOAST EYECARE, INC

Practice address

251 US Route 1
Suite W9B
Falmouth, ME 04105-1322

Phone

(207) 347-3333

NPI assigned

Mar 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Denise A Haas

Title

Biller

Phone

(877) 333-0323

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Joy Giardina, OT

  • Occupational Therapist
  • Bradenton, FL
  • NPI 1316486343
  NPD
• John Joseph Giardina Jr., OD

  • Optometrist
  • Bradenton, FL
  • NPI 1750324638
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790809143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 US ROUTE 1",
            "address_2": "SUITE W9B",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051322",
            "telephone_number": "207-347-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 US ROUTE 1",
            "address_2": "SUITE W9B",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051322",
            "telephone_number": "207-347-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLDCOAST EYECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "877-333-0323",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OP805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "100229",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "4619720",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi S. Blakeman, LCPC-C
• Laura Blutstein, MD
• Nicole Boivin
• Boldcoast Chiropractic Care
• Boldcoast Eyecare Incorporated
• Suzannarose Borg, MD
• Diane Connolly Borton, MS, PT
• Mark P. Bouchard, MD
• Christine Boucher, MS, CCC-SLP
• Maureen M Bourque, P.T.

• Optometrist in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.