Active NPI
Wolf Eye Associates, P.a.
- Ambulatory Surgical Clinic/Center
- Lewiston, ME
National Provider Identifier
1992700132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 36163
- Legal business name
- WOLF EYE ASSOCIATES, P.A.
- Practice address
- 249 Main St
Lewiston, ME 04240-7053 - Phone
- (207) 783-9653
- Fax
- (207) 786-4362
- NPI assigned
- Jun 15, 2005
- 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
- Ruth Anne Brochu
- Title
- Authorized Official
- Phone
- (207) 783-9653
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 36163 | ME | Primary |
Addresses
Primary practice location
249 Main St
Lewiston, ME 04240-7053
Mailing address
249 Main St
Lewiston, ME 04240-7053
Phone (207) 783-9653
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011113 | Other | ME | AETNA HMO |
| 490003182 | Other | ME | RR MEDICARE |
| 903451 | Other | ME | HARVARD PILGRIM |
| 0005123425 | Other | ME | AETNA NON HMO |
| 112050100 | Medicaid | ME | |
| 024590 | Other | ME | ANTHEMBLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
249 Main St
Lewiston, ME 04240
Phone (207) 783-9653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544400000000",
"number": "1992700132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407053",
"telephone_number": "207-783-9653",
"fax_number": "207-786-4362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407053",
"telephone_number": "207-783-9653",
"fax_number": "207-786-4362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOLF EYE ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-15",
"last_updated": "2018-12-10",
"status": "A",
"authorized_official_last_name": "BROCHU",
"authorized_official_first_name": "RUTH ANNE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "207-783-9653"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "ME",
"license": "36163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1011113",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "490003182",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "903451",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "0005123425",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112050100",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEMBLUE CROSS",
"identifier": "024590",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.