Katherine D. Nickerson (NPI# 1881079192, PAC ID# 5395034029) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1881079192 |
| PAC ID by PECOS | 5395034029 |
| Professional Enrollment ID | I20160518002287 |
| Full Name | Katherine D. Nickerson |
| Organization Legal Name | CASCO BAY EYECARE LLC |
| Address |
455 Fore St Portland ME 04101-4089 |
| Phone Number | 2077732020 |
| Gender | F |
| Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3274620562 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 455 Fore St, Portland, ME 04101-4089 | 2077732020 | CASCO BAY EYECARE LLC |
| Organization Legal Name | CASCO BAY EYECARE LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Kearins | Optometry | Casco Bay Eyecare LLC | 10 Q St, South Portland, ME 04106-3601 |
| Steven A Goldstein | Optometry | Casco Bay Eyecare LLC | 256 Us Route 1, Falmouth, ME 04105-1399 |
| Sian E Liem | Optometry | Casco Bay Eyecare LLC | 10 Q St, South Portland, ME 04106-3601 |
| Michael P Anastasio | Optometry | Casco Bay Eyecare LLC | 10 Q St, South Portland, ME 04106-3601 |
| Francis H Robbins | Optometry | Casco Bay Eyecare LLC | 10 Q St, South Portland, ME 04106-3601 |
| Robert W Banglmaier | Optometry | Casco Bay Eyecare LLC | 10 Q St, South Portland, ME 04106-3601 |
| Kyle S Benner | Optometry | Casco Bay Eyecare LLC | 10 Q St, South Portland, ME 04106-3601 |
| Street Address |
455 FORE ST |
| City | PORTLAND |
| State | ME |
| Zip | 04101-4089 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Couch Kelly | Clinical Social Worker | Spurwink Services Incorporated | Portland Help Ctr, 477 Congress St 4th Fl, Portland, ME 04101 |
| Leslie Abrons | Clinical Social Worker | 609 Forest Ave, Portland, ME 04101-1515 | |
| Beth E Eilers | Clinical Social Worker | 609 Forest Ave, Portland, ME 04101-1515 | |
| Catharine Payson | Clinical Social Worker | 585 Forest Ave, Suite 1, Portland, ME 04101-1519 | |
| Kathy Karpeles | Psychologist, Clinical | 651 Forest Ave, Portland, ME 04101-1525 | |
| Joanne T Roy | Clinical Social Worker | Catholic Charities Maine | 11 Baxter Blvd, Portland, ME 04101-1801 |
| John J Padavano | Orthopedic Surgery | Orthopedic Center of New England Pa | 55 Baxter Blvd, Portland, ME 04101-1801 |
| Katie L Vine | Clinical Social Worker | Catholic Charities Maine | 11 Baxter Blvd, Portland, ME 04101-1801 |
| Katelyn Bennett | Physical Therapy | Maine Medical Partners | 43 Baxter Blvd, Portland, ME 04101-1823 |
| Paul R Albert | Physical Therapy | Maine Medical Partners | 43 Baxter Blvd, Portland, ME 04101-1823 |
| Find all physicians in zip 04101 | |||
| City | PORTLAND |
| Zip Code | 04101 |
| Specialty | OPTOMETRY |
| City + Specialty | PORTLAND + OPTOMETRY |
Please comment or provide details below to improve the information on Katherine D. Nickerson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.