PINE TREE EYE ASSOCIATES, PA (NPI# 1447754312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447754312 |
| Entity Type | Organization |
| Organization Name | PINE TREE EYE ASSOCIATES, PA |
| Practice Address |
166 Silver St Waterville ME 04901-5815 |
| Practice Telephone | 2078733500 |
| Practice Fax Number | 2078736167 |
| Mailing Telephone | 2078733500 |
| Mailing Fax Number | 2078736167 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Authorized Official Name | ARIELLE L COSTELLO (OWNER/OPTOMETRIST) |
| Authorized Official Telephone | 2078733500 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT942 | ME | Eye and Vision Services Providers |
| Street Address |
166 SILVER ST |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-5815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132614 | Philip Ralph Poulin | Optometrist | 166 Silver St, Waterville, ME 04901-5815 | 2005-05-31 |
| 1558711531 | Andrew Kaper | Optometrist | 166 Silver St, Waterville, ME 04901-5815 | 2016-06-21 |
| 1851491732 | Anthony M Lee | Optometrist | 166 Silver St, Waterville, ME 04901-5815 | 2006-09-22 |
| 1336243963 | Poulin & Associates Eye Center | Optometrist | 166 Silver St, Waterville, ME 04901-5815 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558673509 | Daniel J Robinson | Optometrist | 8245 Farnsworth Rd, Suite A, Waterville, OH 43566-9478 | 2010-07-07 |
| 1912938697 | Dr. Douglas Stigge Optometrist | Optometrist | 104 E Commercial St, Waterville, KS 66548-8918 | 2006-07-05 |
| 1215931076 | James C Robinson | Optometrist | 8245 Farnsworth Rd Ste A, Waterville, OH 43566-9478 | 2005-06-09 |
| 1912900309 | Peter Douglas Paradis | Optometrist | 216 Main St, Waterville, ME 04901-6116 | 2005-05-31 |
| 1912566290 | Paige Oliver | Optometrist | 325b Kennedy Memorial Dr, Waterville, ME 04901-4562 | 2019-06-10 |
| 1558711531 | Andrew Kaper | Optometrist | 166 Silver St, Waterville, ME 04901-5815 | 2016-06-21 |
| 1912196940 | Anthony Wayne Vision Services Inc | Optometrist | 8245 Farnsworth Rd Ste A, Waterville, OH 43566-9478 | 2007-10-16 |
| 1659462067 | Kennebec Eyecare Pa | Optometrist | 216 Main Street, Waterville, ME 04901 | 2006-09-28 |
| 1851491732 | Anthony M Lee | Optometrist | 166 Silver St, Waterville, ME 04901-5815 | 2006-09-22 |
| 1336243963 | Poulin & Associates Eye Center | Optometrist | 166 Silver St, Waterville, ME 04901-5815 | 2006-09-12 |
| Find all providers in WATERVILLE | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
Please comment or provide details below to improve the information on PINE TREE EYE ASSOCIATES, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.