PENOBSCOT EYE CARE PA
NPI 1073554853
Optometrist in Brewer, ME
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Penobscot Eye Care Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Penobscot Eye Care PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MEAccepts 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.
Medicare Product Categories
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.
Is Penobscot Eye Care PA enrolled in Medicare?
Yes. Penobscot Eye Care PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Penobscot Eye Care PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Penobscot Eye Care PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.
# Penobscot Eye Care Pa · NPI 1073554853
Optometrist organization in Brewer, Maine. Organization record, active in the CMS NPPES registry since June 10, 2006.
## Identity
- **NPI:** 1073554853 (Entity type: Organization)
- **Enumerated:** June 10, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Kimberly Allen, SEC / TRES
## Practice location
- **Address:** 29 DIRIGO DRIVE, Brewer, ME 04412-1600
- **Phone:** (207) 942-2015
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2020
- **Other identifiers:** Medicaid 119630001 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1073554853) · Data from the CMS NPPES public registry.