KENNEBEC EYECARE PA
NPI 1659462067
Optometrist in Waterville, ME
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kennebec Eyecare Pa 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 Kennebec Eyecare PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MEAccepts 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.
Medicare Product Categories
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.
Is Kennebec Eyecare PA enrolled in Medicare?
Yes. Kennebec Eyecare PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kennebec Eyecare PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Kennebec Eyecare PA. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 2 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.
# Kennebec Eyecare Pa · NPI 1659462067
Optometrist organization in Waterville, Maine. Organization record, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1659462067 (Entity type: Organization)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Peter Paradis, OWNER
## Practice location
- **Address:** 216 MAIN ST, Waterville, ME 04901-6116
- **Phone:** (207) 872-2797 · **Fax:** (207) 872-2793
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2024
- **Other identifiers:** Medicaid 127280001 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1659462067) · Data from the CMS NPPES public registry.