| Casco Bay Eyecare Llc | |
|
144 Thadeus St, South Portland, ME 04106-6259 | |
| (207) 885-8686 | |
| (207) 883-7154 |
| Full Name | Casco Bay Eyecare Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 144 Thadeus St, South Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063401693 | NPI | - | NPPES |
| 154790000 | Medicaid | ME | |
| 154790001 | Medicaid | ME | |
| 154790003 | Medicaid | ME | |
| 154790002 | Medicaid | ME | |
| 154790004 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Steven A Goldstein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992794309 PECOS PAC ID: 2062473747 Enrollment ID: I20041026000296 |
| Provider Name | Michael P Anastasio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578552980 PECOS PAC ID: 6800831736 Enrollment ID: I20050622000273 |
| Provider Name | Sian E Liem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275522948 PECOS PAC ID: 9133164692 Enrollment ID: I20050624000361 |
| Provider Name | Robert W Banglmaier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659360345 PECOS PAC ID: 8628000841 Enrollment ID: I20050908000188 |
| Provider Name | Timothy A Kearins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093908816 PECOS PAC ID: 2466546262 Enrollment ID: I20070925000288 |
| Provider Name | Kyle S Benner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912156811 PECOS PAC ID: 1759445174 Enrollment ID: I20090130000138 |
| Provider Name | Katherine D. Nickerson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881079192 PECOS PAC ID: 5395034029 Enrollment ID: I20160518002287 |
| Provider Name | Amy Burke Cyr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942682703 PECOS PAC ID: 4587979307 Enrollment ID: I20160809000329 |
| Provider Name | Emily P Goodheart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548006232 PECOS PAC ID: 9234662099 Enrollment ID: I20241031002851 |
| Mailing Address | Practice Location Address |
|---|---|
| Casco Bay Eyecare Llc Po Box 7487, Portland, ME 04112-7487 Ph: (207) 885-8686 | Casco Bay Eyecare Llc 144 Thadeus St, South Portland, ME 04106-6259 Ph: (207) 885-8686 |
Ronald M. Cedrone Od, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 335 Maine Mall Rd, South Portland, ME 04106 Phone: 207-771-7968 Fax: 207-771-7983 | |
Peter F Morse Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 Maine Mall, South Portland, ME 04106 Phone: 207-774-8008 Fax: 207-774-0990 | |
Harbor View Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 743 Broadway, South Portland, ME 04106 Phone: 207-799-3031 Fax: 207-799-9005 | |
Dr. Joseph A Russo, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 364 Maine Mall Rd Ste F128, South Portland, ME 04106 Phone: 207-383-3456 Fax: 207-383-3409 | |
Roger R Gagnon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 510 Mainemall Rd., South Portland, ME 04106 Phone: 207-775-2030 Fax: 207-775-0755 | |
Mark E. Elkinson, Od, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 200 Gorham Rd, Suite 940, South Portland, ME 04106 Phone: 207-761-9054 |