Organization Active NPI

Catherine J. Varnum O.D.

  • Optometrist
  • Presque Isle, ME
National Provider Identifier
1972783181
Registry record updated Mar 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT754 Issued in ME
Legal business name
CATHERINE J. VARNUM O.D.
Practice address
131 Academy St
Presque Isle, ME 04769-3101
Phone
(207) 764-1900
Fax
(207) 764-4900
NPI assigned
Nov 6, 2007
Last updated
Mar 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2008

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

Authorized official

Name
Catherine J Varnum, O.D.NPI 1205915618
Title
Owner
Phone
(207) 764-1900

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT754 ME Primary

Addresses

Primary practice location

131 Academy St
Presque Isle, ME 04769-3101

Mailing address

131 Academy St
Presque Isle, ME 04769-3101
Phone (207) 764-1900

Other identifiers 1

IdentifierTypeStateIssuer
P00155431OtherMERAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

131 Academy St
Presque Isle, ME 04769
Phone (207) 764-1900

Practitioners & affiliated clinicians

Practitioners 2

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204329600000",
    "number": "1972783181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693101",
            "telephone_number": "207-764-1900",
            "fax_number": "207-764-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693101",
            "telephone_number": "207-764-1900",
            "fax_number": "207-764-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE J. VARNUM O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-03-01",
        "status": "A",
        "authorized_official_last_name": "VARNUM",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-764-1900",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00155431",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2008; 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.