EASTERN MAINE EYE ASSOCIATES PA
NPI 1679563076
Ophthalmology in Bangor, ME

Q: What is Eastern Maine Eye Associates PA's NPI number?

The NPI number for Eastern Maine Eye Associates PA is 1679563076. It was assigned to this organization in the NPPES registry on October 26, 2005.

Q: What is Eastern Maine Eye Associates PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since October 26, 2005

900 HAMMOND ST # A, BANGOR, ME 04401(207) 947-6743(207) 945-4397 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Eastern Maine Eye Associates Pa NPPES

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

EASTERN MAINE EYE ASSOCIATES PA (NPI 1679563076) is a healthcare organization registered as an ophthalmology in Bangor, Maine and active in the NPI registry since October 2005. The organization lists Garth Allen Wilbanks, President, as its authorized official.

NPPES Registry Identity

NPI1679563076

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameEASTERN MAINE EYE ASSOCIATES PA

Location Address900 HAMMOND ST # ABangor, ME 04401-4378

Mailing Address900 Hammond St # ABangor, ME 04401-4378 · (207) 947-6743 · Fax (207) 945-4397

Phone(207) 947-6743

Fax(207) 945-4397

Organization SubpartNo

Authorized OfficialGarth Allen WilbanksPresident · (207) 947-6743

Enumeration DateOctober 26, 2005

Last NPPES UpdateJune 7, 2016

✔ NPI 1679563076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

900 HAMMOND ST # A, Bangor, ME 04401

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Other Identifiers 2

Medicaid127470000ME

Medicare PINEAMM5530ME

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastern Maine Eye Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Eastern Maine Eye Associates PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Jeffrey Jordan, MD

Ophthalmology

NPI 1861480246

900 HAMMOND ST # A
Bangor, ME 04401

(207) 947-6743

✔ PECOS✔ Accepts MedicareSame address

Marina Peskina, MD

Ophthalmology

NPI 1487113486

900 HAMMOND ST # A
Bangor, ME 04401

(207) 947-6743

✔ PECOS✔ Accepts MedicareSame address

Cynthia Self, MD

Ophthalmology

NPI 1275521650

900 HAMMOND ST # A
Bangor, ME 04401

(207) 947-6743

✔ PECOS✔ Accepts MedicareSame address

Garth Wilbanks, MD

Ophthalmology

NPI 1265420640

900 HAMMOND ST # A
Bangor, ME 04401

(207) 947-6743

✔ PECOS✔ Accepts MedicareSame address

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 Eastern Maine Eye Associates PA's NPI number?

The NPI number for Eastern Maine Eye Associates PA is 1679563076. It was assigned to this organization in the NPPES registry on October 26, 2005.

Where is Eastern Maine Eye Associates PA located?

Eastern Maine Eye Associates PA is located at 900 Hammond St # A, Bangor, ME 04401. The listed phone number is (207) 947-6743.

What is Eastern Maine Eye Associates PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Eastern Maine Eye Associates PA enrolled in Medicare?

Yes. Eastern Maine Eye Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Maine Eye Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Eastern Maine Eye Associates 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastern Maine Eye Associates PA was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.