Individual provider Active NPI

Amy Burke Cyr, O.D.

  • Optometrist
  • Portland, ME
National Provider Identifier
1942682703
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT970 Issued in ME
Practice address
455 Fore St
Portland, ME 04101-4089
Phone
(207) 773-2020
Fax
(207) 775-2447
NPI assigned
Jun 29, 2015
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5098 MA
Optometrist 152W00000X OPT970 ME Primary

Addresses

Primary practice location

455 Fore St
Portland, ME 04101-4089

Mailing address

455 Fore St
Portland, ME 04101-4089

Other practice location 1

7 Portland Farms Rd
Scarborough, ME 04074-5301
Phone (207) 883-2809

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
I20160809000329 ME Practitioner - Optometry 4587979307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casco Bay Eyecare LLCGroup PAC ID 3274620562, 8 clinicians

Practice addresses (Care Compare)

455 Fore St
Portland, ME 04101-4089
Phone (207) 773-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Casco Bay Eyecare LLC Optometrist CurrentSince Oct 25, 2021 Accepting new patients
Casco Bay Eye Care LLC Past Accepting new patients

Locations

1440 Congress St
Portland, ME 04102
Phone (207) 772-8384

455 Fore St
Portland, ME 04101
Phone (207) 773-2020

7 Portland Farms Rd
Scarborough, ME 04074
Phone (207) 232-7405

10 Q St
South Portland, ME 04106
Phone (207) 773-2020

Organizations & group practices 2

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1942682703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 FORE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 FORE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014089",
            "telephone_number": "207-773-2020",
            "fax_number": "207-775-2447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Portland Farms Rd",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040745301",
            "country_code": "US",
            "telephone_number": "207-883-2809",
            "fax_number": "207-885-5607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CYR",
        "first_name": "AMY",
        "middle_name": "BURKE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5098",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.