DR. JOHN E. GAETANI (NPI# 1497759989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497759989 |
| Entity Type | Individual |
| Full Name | DR. JOHN E. GAETANI |
| Credential | OD |
| Practice Address |
614 Stillwater Ave Old Town ME 04468-2120 |
| Practice Telephone | 2078272616 |
| Practice Fax Number | 2078273244 |
| Mailing Telephone | 2078272616 |
| Mailing Fax Number | 2078273244 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2014-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT759 | ME | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 254540099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508018276 | John O Gaetani | Physician Assistant | 259 1st St, Mineola, NY 11501-3957 | 2008-10-14 |
| Street Address |
614 STILLWATER AVE |
| City | OLD TOWN |
| State | ME |
| Zip Code | 04468-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325637 | Alesia Lee Higgins | Optometrist | 614 Stillwater Ave, Old Town, ME 04468-2120 | 2005-06-13 |
| 1356483846 | Gaetani Eye Care Associates, Pa | Optometrist | 614 Stillwater Ave, Old Town, ME 04468-2120 | 2007-02-13 |
| 1912901372 | Anne Marie Hall | Optometrist | 614 Stillwater Ave, Old Town, ME 04468-2120 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770730012 | Karen Laflamme Davis | Speech-Language Pathologist | 270-a Main St, Old Town, ME 04468 | 2008-08-19 |
| 1104028281 | Susan C Hoovler | Licensed Practical Nurse | 242 Brunswick St., Penobscot Community Health Center, Old Town, ME 04468 | 2007-06-01 |
| 1326251000 | City of Old Town | Local Education Agency (LEA) | 156 Oak St., Old Town, ME 04468 | 2007-05-08 |
| 1891832382 | Nancy J. Mitchell Home Trust | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Sandy Beach Lane, Indian Island, ME 04468 | 2007-01-31 |
| 1639274913 | Dianne E Kallen | Family Medicine | 252 Brunswick St, Old Town, ME 04468 | 2006-09-13 |
| 1023510898 | Riversedge Chiropractic Wellness Center LLC | Clinic/Center | 227 Main St, Old Town, ME 04468 | 2018-03-07 |
| 1275906893 | Penobscot Community Health Center | Podiatrist | 242 Brunswick St, Old Town, ME 04468 | 2015-11-04 |
| 1740670421 | Kimberly Ann Yartklang | Nurse Practitioner | 242 Brunswick St, Old Town, ME 04468 | 2015-02-02 |
| 1134350077 | Kaliope C. Parousis | Pediatrics | 242 Brunswick Street, Old Town, ME 04468 | 2009-07-27 |
| 1720216245 | Christopher L. Johnston | Family Medicine | 242 Brunswick St, Old Town, ME 04468 | 2009-06-23 |
| Find all providers in zip 04468 | ||||
| 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 |
|---|---|---|---|---|
| 1154325637 | Alesia Lee Higgins | Optometrist | 614 Stillwater Ave, Old Town, ME 04468-2120 | 2005-06-13 |
| 1356483846 | Gaetani Eye Care Associates, Pa | Optometrist | 614 Stillwater Ave, Old Town, ME 04468-2120 | 2007-02-13 |
| 1912901372 | Anne Marie Hall | Optometrist | 614 Stillwater Ave, Old Town, ME 04468-2120 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689235160 | Maja Krsmanovic | Optometrist | 14 Buca Run, Portland, ME 04103-1427 | 2019-06-25 |
| 1306405089 | David Gandelman | Optometrist | 41 Premier Dr Apt 210, Lisbon, ME 04250-6086 | 2019-06-06 |
| 1265995674 | Vision Care of Maine Aroostook, LLC | Optometrist | 9 Katahdin Ln, Houlton, ME 04730-3573 | 2019-04-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| 1952765356 | Alyssa Verrill | Optometrist | 29 Dirigo Dr, Brewer, ME 04412-1600 | 2016-04-12 |
| 1730564618 | Luke Cyr | Optometrist | 35 State Hospital Druve, Eye Clinic, Bangor, ME 04401 | 2015-07-21 |
| 1215334248 | Eyecare Today, Pa | Optometrist | 449 Forest Ave Ste 8, Portland, ME 04101-2008 | 2014-11-19 |
| 1518363522 | Precision Eye Care Pa | Optometrist | 29 Military St, Suite B, Houlton, ME 04730-1713 | 2014-11-18 |
| 1306272406 | Ethan Ranger Taylor | Optometrist | 824 Stillwater Avenue, Bangor, ME 04401-3614 | 2013-09-20 |
| Find all providers with the same taxonomy | ||||
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| 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.