Kennebec Eyecare PA
NPI 1659462067ActiveOrganization· Optometrist· Waterville, ME
Optometrist in Waterville, Maine, registered in NPPES in September 2006. The authorized official on file is Peter Paradis, OD, Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1659462067 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2006 |
| Last updated in NPPES | Sep 26, 2024 |
| Certified by provider | Sep 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (ME); Part B Supplier - Clinic/Group Practice (ME) |
|---|
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