EYE CENTER NORTHEAST
NPI 1467601872
Optometrist in Bangor, ME

Active since September 10, 2008
955 BROADWAY, BANGOR, ME 04401(207) 990-4388(207) 947-9241 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eye Center Northeast NPPES

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

EYE CENTER NORTHEAST (NPI 1467601872) is a healthcare organization registered as an optometrist in Bangor, Maine and active in the NPI registry since September 2008. The organization lists David T Douglass, Owner, as its authorized official.

NPPES Registry Identity

NPI1467601872
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameNORTHEAST EYECARE, INC.
Location Address955 BROADWAYBangor, ME 04401
Mailing Address955 BroadwayBangor, ME 04401 · (207) 990-4388 · Fax (207) 947-9241
Fax(207) 947-9241
Organization SubpartNo
Authorized OfficialDavid T DouglassOwner · (207) 990-4388
Enumeration DateSeptember 10, 2008
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
NPI 1467601872 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 · OPT797
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.

955 BROADWAY, Bangor, ME 04401

Other Names 1

Doing Business AsEye Center Northeast

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

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 20D2115112

Eye Center Northeast · Bangor, ME
Expired · Jun 27, 2026
CLIA Number20D2115112
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2024
Certificate Expiration DateJune 27, 2026
Laboratory DirectorDavid T. Douglass
Laboratory Phone(207) 990-4388
Laboratory LocationEye Center Northeast955 Broadway Attn Christie Therault, Bangor, ME 04401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Optometrist
955 BROADWAY
BANGOR, ME 04401
Optometrist
955 BROADWAY
BANGOR, ME 04401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467601872, enumerated as an "organization" on September 10, 2008.

The provider is located at 955 BROADWAY BANGOR, ME 04401 and the phone number is (207) 990-4388.

Optometrist with taxonomy code 152W00000X.