PENOBSCOT EYE CARE PA
NPI 1073554853
Optometrist in Brewer, ME

Active since June 10, 2006
29 DIRIGO DRIVE, BREWER, ME 04412(207) 942-2015 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2020, Feb 5, 2019 (2 updates tracked since 2019).

About Penobscot Eye Care Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENOBSCOT EYE CARE PA (NPI 1073554853), doing business as Penobscot Eye Care Inc, is a healthcare organization registered as an optometrist in Brewer, Maine and active in the NPI registry since June 2006. The organization lists Kimberly D. Allen, Sec / Tres, as its authorized official.

NPPES Registry Identity

NPI1073554853
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePENOBSCOT EYE CARE PA
Location Address29 DIRIGO DRIVEBrewer, ME 04412-1600
Mailing Address29 Dirigo DriveBrewer, ME 04412-1600 · (207) 942-2015
Organization SubpartNo
Authorized OfficialKimberly D. AllenSec / Tres · (207) 942-2015
Enumeration DateJune 10, 2006
Last NPPES UpdateJune 15, 20202 updates tracked since enumeration
NPPES CertifiedJune 15, 2020
NPI 1073554853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
29 DIRIGO DRIVE, Brewer, ME 04412

Other Names 1

Former Legal Business NamePenobscot Eye Care Inc

Other Identifiers 1

Medicaid119630001ME

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Penobscot Eye Care, PA carries, from the Medicare DMEPOS supplier directory.

Penobscot Eye Care, PA

DMEPOS supplier · Brewer, ME

Accepts Medicare assignment

Penobscot Eye Care, PA agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20671733
Medicare Participant SinceJanuary 1, 1993
Supplier Location29 Dirigo DrBrewer, ME 04412
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
29 DIRIGO DRIVE
BREWER, ME 04412
Optometrist
29 DIRIGO DRIVE
BREWER, ME 04412
Optometrist
29 DIRIGO DRIVE
BREWER, ME 04412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penobscot Eye Care PA's NPI number?

The NPI number for Penobscot Eye Care PA is 1073554853. It was assigned to this organization in the NPPES registry on June 10, 2006. The provider was formerly known as Penobscot Eye Care Inc.

Where is Penobscot Eye Care PA located?

Penobscot Eye Care PA is located at 29 Dirigo Drive, Brewer, ME 04412. The listed phone number is (207) 942-2015.

What is Penobscot Eye Care PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Penobscot Eye Care PA accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Penobscot Eye Care, PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Penobscot Eye Care PA accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Penobscot Eye Care PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Penobscot Eye Care PA was last updated on June 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.