| Eyecare Medical Group | |
|
53 Sewall Street, Portland, ME 04102 | |
| (207) 828-2020 | |
| (207) 773-7034 |
| Full Name | Eyecare Medical Group |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 53 Sewall Street, 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 |
|---|---|---|---|
| 1467557280 | NPI | - | NPPES |
| 109280200 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Robert W Daly |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215032685 PECOS PAC ID: 8820026685 Enrollment ID: I20050802000745 |
| Provider Name | Samuel P Solish |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306941778 PECOS PAC ID: 3577474394 Enrollment ID: I20050802000753 |
| Provider Name | Natan D Kahn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568468635 PECOS PAC ID: 4385672906 Enrollment ID: I20050803000725 |
| Provider Name | Bartlett H Hayes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821106147 PECOS PAC ID: 4284664301 Enrollment ID: I20050818000513 |
| Provider Name | Jordan E Sterrer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386651479 PECOS PAC ID: 4486555414 Enrollment ID: I20070912000099 |
| Provider Name | Jackie Nguyen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326094533 PECOS PAC ID: 8022041177 Enrollment ID: I20081016000101 |
| Provider Name | Ravindra A Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801032800 PECOS PAC ID: 8325192495 Enrollment ID: I20100820000582 |
| Provider Name | Aaron J Parnes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780888586 PECOS PAC ID: 8426235011 Enrollment ID: I20130828000419 |
| Provider Name | Katherine R Hill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255767620 PECOS PAC ID: 6204066228 Enrollment ID: I20140312002092 |
| Provider Name | Adam Sise |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891010997 PECOS PAC ID: 6002033891 Enrollment ID: I20150710001146 |
| Provider Name | Richard Matthew France |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720427008 PECOS PAC ID: 6709150600 Enrollment ID: I20180810000285 |
| Provider Name | Kyle T Packer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598197436 PECOS PAC ID: 6800297318 Enrollment ID: I20210622000897 |
| Provider Name | John K Lippincott |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871094110 PECOS PAC ID: 0244642924 Enrollment ID: I20240618002480 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Medical Group 53 Sewall St, Portland, ME 04102-2625 Ph: (207) 828-2020 | Eyecare Medical Group 53 Sewall Street, Portland, ME 04102 Ph: (207) 828-2020 |