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KENNEBEC EYECARE PA
NPI 1659462067
Optometrist in Waterville, ME

Active since September 28, 2006
216 MAIN ST, WATERVILLE, ME 04901(207) 872-2797(207) 872-2793 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2024, Sep 22, 2022 (2 updates tracked since 2022).

About Kennebec Eyecare Pa NPPES

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

KENNEBEC EYECARE PA (NPI 1659462067) is a healthcare organization registered as an optometrist in Waterville, Maine and active in the NPI registry since September 2006. The organization lists Peter Paradis, Owner, as its authorized official.

NPPES Registry Identity

NPI1659462067
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKENNEBEC EYECARE PA
Location Address216 MAIN STWaterville, ME 04901-6116
Mailing Address216 Main StWaterville, ME 04901-6116 · (207) 872-2797 · Fax (207) 872-2793
Phone(207) 872-2797
Fax(207) 872-2793
Organization SubpartNo
Authorized OfficialPeter ParadisOwner · (207) 872-2797
Enumeration DateSeptember 28, 2006
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1659462067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
216 MAIN ST, Waterville, ME 04901
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Other Identifiers 1

Medicaid127280001ME

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

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Kennebec Eyecare PA carries, from the Medicare DMEPOS supplier directory.

Kennebec Eyecare PA

DMEPOS supplier · Waterville, ME
✔

Accepts Medicare assignment

Kennebec Eyecare 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.

PTAN (Medicare Supplier Number)20578787
Medicare Participant SinceJuly 1, 2005
Supplier Location216 Main StWaterville, ME 04901
Phone(207) 872-2797
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

KAYLEE BRANN
Optometrist
216 MAIN ST
WATERVILLE, ME 04901
Kennebec County (207) 872-2797
PETER DOUGLAS PARADIS O.D.
Optometrist
216 MAIN ST
WATERVILLE, ME 04901
Kennebec County (207) 872-2797

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 Kennebec Eyecare PA's NPI number?

The NPI number for Kennebec Eyecare PA is 1659462067. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Kennebec Eyecare PA located?

Kennebec Eyecare PA is located at 216 Main St, Waterville, ME 04901. The listed phone number is (207) 872-2797.

What is Kennebec Eyecare PA's specialty?

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

Does Kennebec Eyecare PA accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kennebec Eyecare PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Kennebec Eyecare PA was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.