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: July 19, 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
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

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

The provider carries the following medical supplies product categories:

PTAN
20578787
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Optometrist
216 MAIN ST
WATERVILLE, ME 04901
Optometrist
216 MAIN ST
WATERVILLE, ME 04901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659462067, enumerated as an "organization" on September 28, 2006.

The provider is located at 216 MAIN ST WATERVILLE, ME 04901 and the phone number is (207) 872-2797.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.