Organization Active NPI

Peter Nesin, Optician

  • Eyewear Supplier
  • Belfast, ME
National Provider Identifier
1972774107
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PETER NESIN, OPTICIAN
Practice address
158 Northport Ave
Belfast, ME 04915-6060
Phone
(207) 338-2440
Fax
(207) 338-2440
NPI assigned
Mar 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Mr. Peter NesinNPI 1316023039
Title
Owner
Phone
(207) 338-2440

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

158 Northport Ave
Belfast, ME 04915-6060

Mailing address

158 Northport Ave
Belfast, ME 04915-6060
Phone (207) 338-2440

Other identifiers 1

IdentifierTypeStateIssuer
110560000MedicaidME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1972774107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 NORTHPORT AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156060",
            "telephone_number": "207-338-2440",
            "fax_number": "207-338-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 NORTHPORT AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156060",
            "telephone_number": "207-338-2440",
            "fax_number": "207-338-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER NESIN, OPTICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-16",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "NESIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-338-2440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110560000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.