Advanced Clinical Eyecare of Central Maine, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ADVANCED CLINICAL EYECARE OF CENTRAL MAINE, LLC

Practice address

363 Center St
Auburn, ME 04210-6114

Phone

(207) 530-8332

NPI assigned

Jan 10, 2025

Last updated

Jan 10, 2025By 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

Paige Frost, ODNPI 1295214765

Title

Optometrist

Phone

(207) 530-8332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

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.

• Paige Frost, OD

  • Optometrist
  • Auburn, ME
  • NPI 1295214765
  Medicare reassignment Care Compare group NPD Authorized official
• David Gandelman, O.D

  • Optometrist
  • Auburn, ME
  • NPI 1306405089
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1821808973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 CENTER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106114",
            "telephone_number": "207-530-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 CENTER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106114",
            "telephone_number": "207-530-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CLINICAL EYECARE OF CENTRAL MAINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "207-530-8332",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 42 North Dental Care PLLC (Willow Run Dental Associates)
• Tammy Estabrook Acker, RN
• Angela Additon
• Lauren P Adey, M.D.
• Advance Orthotic & Prosthetic Services, Inc.
• Agnes McNally LCPC
• Abdifatah H Ahmed, PHARM D.
• Mohamed Ali Al Saied, MD, CCFP, FRCS(C)
• Shirley L. Ala, PA-C
• Jennifer L. Alexander, LCSW, LADC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.

Verify at the official NPI Registry.