Eye Care & Eye Wear Center of Maine

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE & EYE WEAR CENTER OF MAINE

Practice address

151 Main St
Westbrook, ME 04092-4808

Phone

(207) 854-1801

Fax

(207) 854-0260

NPI assigned

Mar 7, 2007

Last updated

Oct 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia G Hennessey

Title

Practice Manager

Phone

(207) 854-1801

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Jennifer L Haverkamp, OD

  • Optometrist
  • Westbrook, ME
  • NPI 1902054968
  Medicare reassignment Care Compare group NPD
• Eric Todd Roush, O.D.

  • Optometrist
  • Westbrook, ME
  • NPI 1528083524
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1992835961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924808",
            "telephone_number": "207-854-1801",
            "fax_number": "207-854-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924808",
            "telephone_number": "207-854-1801",
            "fax_number": "207-854-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE & EYE WEAR CENTER OF MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "HENNESSEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "207-854-1801",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C13901",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107830000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "G0116",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Evans, PHARMD
• Maria Everett
• Everhope LLC
• Excellence Coffee LLC (Pure Heart Agency)
• Excellence LLC (Excellence Home Care)
• Shannon Janice Ezovski, MD
• Jaime B Fairfield, PA-C
• Family Home Care LLC
• Leslie Farrin, RDH, MFT
• Melody Peck Faux, FNP

• Optometrist in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.