Active NPI
Eyes, P.a.
- Optometrist
- Mount Desert, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EYES, P.A.
- Practice address
- 1049 Main Street
Mount Desert, ME 04660-0232 - Phone
- (207) 244-1180
- Fax
- (207) 244-1181
- NPI assigned
- Jul 24, 2007
- Last updated
- Jun 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael H. Gonyea, O.D.
- Title
- President
- Phone
- (207) 667-8615
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
1049 Main Street
Mount Desert, ME 04660-0232
Mailing address
82 Water St
Ellsworth, ME 04605-2006
Phone (207) 667-8615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125710001 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050830000735 | ME | Part B Supplier - Clinic/Group Practice | 0345271284 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ellsworth, ME |
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 DirectoryLocations
82 Water St
Ellsworth, ME 04605
Phone (207) 667-8615
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Optometrist
- Ellsworth, ME
- NPI 1851301022
-
- Optometrist
- Ellsworth, ME
- NPI 1265873954
-
- Optometrist
- Ellsworth, ME
- NPI 1619546306
-
- Optometrist
- Ellsworth, ME
- NPI 1861401267
-
- Optometrist
- Germantown, TN
- NPI 1720500218
-
- Optometrist
- Germantown, TN
- NPI 1699768887
-
- Optometrist
- Ellsworth, ME
- NPI 1700897188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1952501231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 WATER ST",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046052006",
"telephone_number": "207-667-8615",
"fax_number": "207-667-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 MAIN STREET",
"city": "MOUNT DESERT",
"state": "ME",
"postal_code": "046600232",
"telephone_number": "207-244-1180",
"fax_number": "207-244-1181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-24",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "GONYEA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-667-8615",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125710001",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Desert, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.