EYECARE MEDICAL GROUP NPI 1376599381

NPI Information

  • NPI: 1376599381
  • Provider Name: EYECARE MEDICAL GROUP
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 20D2266878
  • Address: 53 SEWALL STREET
    PORTLAND, ME
    ZIP 04102
  • Phone: (207) 828-2020

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NPI Details

EYECARE MEDICAL GROUP is an ambulatory surgical clinic center in Portland, ME. EYECARE MEDICAL GROUP NPI is 1376599381. The provider is registered as an organization entity type.

The provider's business location address is:

53 SEWALL STREET
PORTLAND, ME
ZIP 04102-625
Phone: (207) 828-2020
Fax: (207) 773-7034

The provider's authorized official is Lynn Shorty .
The authorized official title is Chief Operating Officer and has the following contact phone number (207) 791-8234.

The CLIA number assigned to this NPI record is 20D2266878 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Destruction of leaking blood vessels of retina using laser (HCPCS:67228)
  • Photocoagulation treatment to prevent detachment of retina (HCPCS:67145)
  • Creation of eye fluid drainage tract for treatment of glaucoma (HCPCS:66170)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Insertion of initial aqueous fluid drainage device into eye (HCPCS:0449T)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Removal of membrane of retina (HCPCS:67041)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)

The enumeration date for this NPI number is 5/25/2006 and was last updated on 12/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1261QA1903XClinic/CenterAmbulatory Surgical36395MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1109280100MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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