PORTLAND EYECARE
NPI 1639469000
Optometrist in Portland, ME
About Portland Eyecare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORTLAND EYECARE (NPI 1639469000) is a healthcare organization registered as an optometrist in Portland, Maine and active in the NPI registry since April 2011. The organization lists Peter Ebbert Hall, President, 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)
Portland Eyecare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Portland Eyecare, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Portland, ME 04102
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Cornerbrook Plaza Eye Care P A's NPI number?
The NPI number for Cornerbrook Plaza Eye Care P A is 1639469000. It was assigned to this organization in the NPPES registry on April 19, 2011. The provider is doing business as Portland Eyecare.
Where is Cornerbrook Plaza Eye Care P A located?
Cornerbrook Plaza Eye Care P A is located at 1040 Brighton Ave, Portland, ME 04102. The listed phone number is (207) 253-5333.
What is Cornerbrook Plaza Eye Care P A's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Cornerbrook Plaza Eye Care P A enrolled in Medicare?
Yes. Cornerbrook Plaza Eye Care P A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cornerbrook Plaza Eye Care P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Cornerbrook Plaza Eye Care P A. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cornerbrook Plaza Eye Care P A accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Cornerbrook Plaza Eye Care P A 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 Cornerbrook Plaza Eye Care P A was last updated on May 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Portland Eyecare · NPI 1639469000
Optometrist organization in Portland, Maine. Organization record, active in the CMS NPPES registry since April 19, 2011.
## Identity
- **NPI:** 1639469000 (Entity type: Organization)
- **Enumerated:** April 19, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Cornerbrook Plaza Eye Care P A
- **Organization subpart:** No
- **Authorized official:** Peter Hall, PRESIDENT
## Practice location
- **Address:** 1040 BRIGHTON AVE, Portland, ME 04102
- **Phone:** (207) 253-5333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2011
- **Other identifiers:** Medicare UPIN MM9591 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1639469000) · Data from the CMS NPPES public registry.