Sunrise Eye Care PA
Organization Active NPI Optometrist · Machias, ME
NPI 1851607501 · NPPES record last updated Aug 19, 2010
Key facts
- NPI
- 1851607501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 900T (ME)
- Legal business name
- SUNRISE EYE CARE PA
- Practice address
- 19 Court St
Machias, ME 04654-2108 - Phone
- (207) 255-4461
- Fax
- (207) 255-8609
- NPI assigned
- Aug 19, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Carina L Orcutt, O.D.
- Title
- President
- Phone
- (207) 454-2277
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 4
-
Carina L. Orcutt, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101029000540 | ME | Part B Supplier - Clinic/Group Practice | 6507059672 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Calais, ME; Machias, ME |
National Provider Directory
- Tax ID family
- Sunrise Eye Care PA
Locations
4 Park St
Calais, ME 04619
Phone (207) 454-2277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 900T | ME | Yes |
| Optometrist |
152W00000X | 567T | ME | |
| Optometrist |
152W00000X | 667T | ME |
Addresses
Primary practice location
19 Court St
Machias, ME 04654-2108
Mailing address
PO Box 477
Machias, ME 04654-0477
Phone (207) 255-4461
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126350001 | Medicaid | ME |
Other providers in Machias, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.