Organization Active NPI

Sunrise Eye Care PA

  • Optometrist
  • Machias, ME
National Provider Identifier
1851607501
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
900T Issued in 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
Last updated
Aug 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
Dr. Carina L Orcutt, O.D.NPI 1407004864
Title
President
Phone
(207) 454-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 900T ME Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 567T ME
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Eye Care PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1851607501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046540477",
            "telephone_number": "207-255-4461",
            "fax_number": "207-255-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 COURT ST",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046542108",
            "telephone_number": "207-255-4461",
            "fax_number": "207-255-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "ORCUTT",
        "authorized_official_first_name": "CARINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-454-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "900T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "567T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "667T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Machias, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.