EYECARE MEDICAL GROUP
NPI 1376599381
Clinic/Center - Ambulatory Surgical in Portland, ME

Active since May 25, 2006CLIA 20D2336271 · Waiver
53 SEWALL STREET, PORTLAND, ME 04102(207) 828-2020(207) 773-7034 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2021, Mar 29, 2017 (2 updates tracked since 2017).

About Eyecare Medical Group NPPES

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

EYECARE MEDICAL GROUP (NPI 1376599381) is a healthcare organization registered as an ambulatory surgical in Portland, Maine and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Lynn Shorty, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1376599381
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEYECARE MEDICAL GROUP
Location Address53 SEWALL STREETPortland, ME 04102-2625
Mailing Address53 Sewall StreetPortland, ME 04102-2625 · (207) 828-2020 · Fax (207) 773-7034
Fax(207) 773-7034
Organization SubpartNo
Authorized OfficialLynn ShortyChief Operating Officer · (207) 791-8234
Enumeration DateMay 25, 2006
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1376599381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in ME · 36395
53 SEWALL STREET, Portland, ME 04102

Other Identifiers 1

Medicaid109280100ME

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)

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

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Eyecare Medical Group, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Ophthalmology
NPI 1215032685
53 SEWALL ST
Portland, ME 04102
(207) 828-2020
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1720427008
53 SEWALL ST
Portland, ME 04102
(207) 773-6058
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1326094533
53 SEWALL STREET
Portland, ME 04102
(207) 828-2020
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1780888586
53 SEWALL ST
Portland, ME 04102
(410) 949-7512
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1801032800
53 SEWALL ST
Portland, ME 04102
(207) 828-2020
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1891010997
53 SEWALL ST
Portland, ME 04102
(207) 828-2020
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1386651479
53 SEWALL STREET
Portland, ME 04102
(207) 828-2020
✔ PECOSSame 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 20D2336271

Eyecare Medical Group-Stroudwater Crossing Satellite Office · Portland, ME
Active · expires Dec 29, 2027
CLIA Number20D2336271
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorAdam Sise
Laboratory Phone(207) 828-2020
Laboratory LocationEyecare Medical Group-Stroudwater Crossing Satellite Office1685 Congress Street Suite 202, Portland, ME 04102
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,297 services725 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
513 services318 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
103 services52 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
64 services48 patients
Destruction of leaking blood vessels of retina using laser 67228
This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.
57 services29 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
56 services32 patients

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 Eyecare Medical Group's NPI number?

The NPI number for Eyecare Medical Group is 1376599381. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Eyecare Medical Group located?

Eyecare Medical Group is located at 53 Sewall Street, Portland, ME 04102. The listed phone number is (207) 828-2020.

What is Eyecare Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Eyecare Medical Group enrolled in Medicare?

Yes. Eyecare Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eyecare Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Ophthalmology, reassign their Medicare billing to Eyecare Medical Group. 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, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eyecare Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2336271) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eyecare Medical Group accept?

Health plans from Anthem Blue Cross and Blue Shield list Eyecare Medical Group 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 Eyecare Medical Group was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.