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YORK FAMILY EYECARE
NPI 1295918233
Optometrist in York, ME

Active since December 13, 2007
764 US ROUTE 1, YORK, ME 03909(207) 363-7555(207) 363-1711 Get Directions Write a Review

NPPES record last updated: September 17, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About York Family Eyecare NPPES

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

YORK FAMILY EYECARE (NPI 1295918233) is a healthcare organization registered as an optometrist in York, Maine and active in the NPI registry since December 2007. The organization lists Sammy Lee Pelletier, President, as its authorized official.

NPPES Registry Identity

NPI1295918233
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameYORK FAMILY EYECARE
Location Address764 US ROUTE 1York, ME 03909-5883
Mailing Address764 Us Route 1York, ME 03909-5883 · (207) 363-7555 · Fax (207) 363-1711
Phone(207) 363-7555
Fax(207) 363-1711
Organization SubpartNo
Authorized OfficialSammy Lee PelletierPresident · (207) 363-7555
Enumeration DateDecember 13, 2007
Last NPPES UpdateSeptember 17, 2010
✔ NPI 1295918233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ME · OPT729
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.
764 US ROUTE 1, York, ME 03909
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Other Identifiers 9

Other018152ME · Star #
Medicare UPINU20239ME
OtherMM6681Medicare
Other5021708ME · Cigna Provider #
Medicaid130570000ME
Other09Y000292ME01ME · Blue Cross Provider #
Other2237986ME · Aetna
OtherMNT038ME · Harvard Pilgrim
OtherM22891ME · Cigna Provider #

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

York Family Eyecare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to York Family Eyecare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sammy Pelletier, OD
Optometry
NPI 1609841360
764 ROUTE ONE UNIT 6
York, ME 03909
(207) 363-7555
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2119985

York Family Eyecare · York, ME
Expired · Oct 6, 2026
CLIA Number20D2119985
Laboratory TypePractitioner Other
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorSam Pelletier Od
Laboratory Phone(207) 363-7555
Laboratory LocationYork Family Eyecare764 Route 1, Suite 6, York, ME 03909
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 York Family Eyecare's NPI number?

The NPI number for York Family Eyecare is 1295918233. It was assigned to this organization in the NPPES registry on December 13, 2007.

Where is York Family Eyecare located?

York Family Eyecare is located at 764 Us Route 1, York, ME 03909. The listed phone number is (207) 363-7555.

What is York Family Eyecare's specialty?

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

Is York Family Eyecare enrolled in Medicare?

Yes. York Family Eyecare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through York Family Eyecare?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to York Family Eyecare. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for York Family Eyecare was last updated on September 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.