RIVERSIDE EYE CENTER PA (NPI# 1780879510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780879510 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE EYE CENTER PA |
| Practice Address |
193 Main St Riverside Eye Center Norway ME 04268-5645 |
| Practice Telephone | 2077430027 |
| Practice Fax Number | 2077430051 |
| Mailing Telephone | 2077430027 |
| Mailing Fax Number | 2077430051 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2013-06-06 |
| Authorized Official Name | MS. TAMI ROSENBERG (PRACTICE MANAGER) |
| Authorized Official Telephone | 2077430027 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 015596 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 061139 | 01 | |
| CIGNA | M2307901 | 01 | |
| MEDICARE PTAN | NX3033 | 01 | |
| ME | 325120099 | 05 | |
| ME | 431545400 | 05 | |
| MEDICARE | MM8909 | 01 | |
| RAILROAD MEDICARE | P00184354 | 01 |
| Street Address |
193 MAIN ST RIVERSIDE EYE CENTER |
| City | NORWAY |
| State | ME |
| Zip Code | 04268-5645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003805995 | Martin D Whitaker | Ophthalmology | 193 Main St, Norway, ME 04268-5645 | 2005-10-14 |
| 1033752464 | Emily Karonis | Nurse Practitioner | 193 Main St, Norway, ME 04268-5645 | 2019-10-17 |
| 1710547153 | Kelly Trancygier | Physical Therapist | 193 Main St, Norway, ME 04268-5645 | 2019-06-18 |
| 1457910317 | Scott Bottomley | Physical Therapist | 193 Main St, Norway, ME 04268-5645 | 2019-06-13 |
| 1871032250 | Jennifer Collins | Social Worker | 193 Main St, Norway, ME 04268-5645 | 2017-02-17 |
| 1043673957 | Crossway Family Dental Pa | Dentist | 193 Main St, Norway, ME 04268-5645 | 2016-03-30 |
| 1487022398 | Gregory Bates | Nurse Practitioner | 193 Main St, Norway, ME 04268-5645 | 2015-09-09 |
| 1184013344 | Lisa Louise Letourneau-bonn | Nurse Practitioner | 193 Main St, Norway, ME 04268-5645 | 2015-01-12 |
| 1144599986 | Western Maine Multi-medical Specialists Dba Oxford Hills Internal Medi | Nurse Practitioner | 193 Main St, Suite 1, Norway, ME 04268-5645 | 2011-12-23 |
| 1811288061 | Mainehealth | General Acute Care Hospital | 193 Main St, Suite 9, Norway, ME 04268-5645 | 2011-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407349202 | A Life's Compass Pllc | Case Management | 9 Marston St, Norway, ME 04268 | 2018-06-07 |
| 1487170254 | Sharon Beth Skillings | Registered Nurse | 59 Winter St, Norway, ME 04268 | 2017-08-14 |
| 1811368426 | Michelle Y Buescher | Nurse Practitioner | 8 Pikes Hill, Western Maine Family Practice, Norway, ME 04268 | 2015-10-08 |
| 1255665899 | New Communities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Beal Street, Norway, ME 04268 | 2009-09-30 |
| 1205066636 | Michaele J Potvin | Social Worker | 193 Main Street, Suite 9, Norway, ME 04268 | 2009-07-20 |
| 1275762999 | Brady C Mullin | Surgery | 193 Main Street, Suite 16, Norway, ME 04268 | 2009-07-02 |
| 1750596664 | Christopher A Cifizzar Dds Pa | Dentist | 15 Pearl St, Norway, ME 04268 | 2007-05-14 |
| 1316068588 | Mary Clare Clifford | Speech-Language Pathologist | 18 Grove Street, Ot To Play, Norway, ME 04268 | 2007-04-03 |
| 1891823324 | Occupational Health Centers of Sw Pa | Clinic/Center | 29 Winter Street, Norway, ME 04268 | 2007-02-28 |
| 1740349497 | Donna Hilleboe Demuth | Specialist | 129 Valhalla Ln., Box 635, Norway, ME 04268 | 2006-12-08 |
| Find all providers in zip 04268 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003805995 | Martin D Whitaker | Ophthalmology | 193 Main St, Norway, ME 04268-5645 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417214370 | Kaitlyn W. Nolan | Ophthalmology | 71 Main St., Newcastle, ME 04553-3426 | 2012-04-17 |
| 1437440435 | Jessica S Watson | Ophthalmology | 15 Lowell Street, Portland, ME 04102-2726 | 2011-04-25 |
| 1437314127 | Tracey Durkovich Clark | Ophthalmology | 1 Ridgewood Drive, Bangor, ME 04401 | 2008-07-23 |
| 1013191584 | Jeremy Reid Valentine | Ophthalmology | 899 Central St, Millinocket, ME 04462-2125 | 2007-12-20 |
| 1225235633 | Catherine Meyerle | Ophthalmology | 35 Eastward Ln Ste A, Ellsworth, ME 04605-1744 | 2007-06-29 |
| 1578765640 | Kittery Ophthalmic Consultants | Ophthalmology | 57 State Rd, Kittery, ME 03904-1535 | 2007-06-01 |
| 1740409424 | Sirus Hamzavi, Md LLC Pa | Ophthalmology | 10 High St Ste 304, Lewiston, ME 04240-7640 | 2007-04-24 |
| 1104940568 | Mark Edward Marotto | Ophthalmology | 130 Center Street, Bath, ME 04530 | 2007-03-19 |
| 1205994415 | Margaret L Blom | Ophthalmology | 270 High St, Suite 106, Ellsworth, ME 04605-1729 | 2006-12-04 |
| 1003981200 | Deborah S Hoffert | Ophthalmology | 700 Mount Hope Ave Ste 470, Evergreen Woods, Bangor, ME 04401-5660 | 2006-11-22 |
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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.