Provider Demographics
NPI:1528466687
Name:EYECARE NOW
Entity type:Organization
Organization Name:EYECARE NOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCCANN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:207-667-9093
Mailing Address - Street 1:248 STATE ST., STE. 7
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605
Mailing Address - Country:US
Mailing Address - Phone:207-667-9093
Mailing Address - Fax:207-664-0420
Practice Address - Street 1:248 STATE ST., STE. 7
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605
Practice Address - Country:US
Practice Address - Phone:207-667-9093
Practice Address - Fax:207-664-0420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME03839500Medicaid
ME706124OtherMEDICARE PTAN