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Contact Information

CASCO BAY EYECARE LLC
144 THADEUS ST
SOUTH PORTLAND, ME04106-6259
 Phone: 207-885-8686
 Fax: 207-883-7154
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CASCO BAY EYECARE LLC

NPI Number 1063401693
LBN Legal business name CASCO BAY EYECARE LLC
Authorized official REBECCA DARLING - (GROUP ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2005
Last updated 08/20/2020 - About 6 years ago
Identifiers
ME Medicaid 154790000
ME Medicaid 154790001
ME Medicaid 154790002
ME Medicaid 154790003
ME Medicaid 154790004
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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