KIRN, EVERETT & CAMERON, OPTOMETRISTS - NPI NUMBER 1275592073

Summary

Provider Name: KIRN, EVERETT & CAMERON, OPTOMETRISTS

NPI Number: 1275592073

Clasification: Optometrist (152W00000X)

Address:
56 FRANKLIN ST
RUMFORD, ME
ZIP 04276

Phone Number: (207) 364-4491



Detailed Information

KIRN, EVERETT & CAMERON, OPTOMETRISTS is an optometrist in Rumford, ME. The provider is 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. The assigned NPI number for this provider is 1275592073 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

56 FRANKLIN ST
RUMFORD, ME
ZIP 04276-060
Phone: (207) 364-4491
Fax: (207) 364-4015

The provider's authorized official is Peter C. Everett .
The authorized official title is Partner and has the following contact phone number (207) 364-4491.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 1/11/2008.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 152W00000X Optometrist Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 0217920001 MEDICARE NSC ME
2 CJ3332 OTHER ME RAILROAD MEDICARE PALMETT

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1275592073 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name KIRN, EVERETT & CAMERON, OPTOMETRISTS The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 56 FRANKLIN ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name RUMFORD The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name ME The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 042762060 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 2073644491 The telephone number associated with the location address of the provider being identified.
11 Provider Business Practice Location Address Fax Number 2073644015 The fax number associated with the location address of the provider being identified.
12 Provider Enumeration Date 3/21/2006 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 1/11/2008 The date that a record was last updated or changed.
14 Authorized Official Last Name EVERETT The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
15 Authorized Official First Name PETER The first name of the authorized official.
16 Authorized Official Middle Name C. The middle name of the authorized official.
17 Authorized Official Title or Position PARTNER The title or position of the authorized official.
18 Authorized Official Telephone Number 2073644491 The 10-position telephone number of the authorized official.
19 Healthcare Provider Taxonomy Code 1 152W00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 0217920001 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
22 Other Provider Identifier Type Code 1 07 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier State 1 ME
24 Other Provider Identifier 2 CJ3332 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier Type Code 2 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
26 Other Provider Identifier State 2 ME
27 Other Provider Identifier Issuer 2 RAILROAD MEDICARE PALMETT
28 Is Organization Subpart N
29 Authorized Official Credential Text O.D.
30 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

Similar Providers Nearby

NPI Provider Name NPI Type Taxonomy
1477834265 WILLIAM F KEYES, OD Individual Optometrist
1801855796 PETER C. EVERETT, O.D. Individual Optometrist
1427364223 DR. SARAH ELLIS, O.D. Individual Optometrist
1659516193 MOUNTAIN VIEW EYECARE, P.A. Organization Optometrist
1467412601 LINDA T.G. CAMERON, O.D. Individual Optometrist


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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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