Organization
RIVERSIDE EYE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE FOURNIER CMPE (PRACTICE ADMINISTRATOR)
(207) 786-1917
Entity
Organization
Contact information
Practice address
475 LISBON ST, LEWISTON, ME 04240-7418
(207) 786-2500
(207) 786-2503
Mailing address
193 MAIN ST, RIVERSIDE EYE CENTER, NORWAY, ME 04268-5645
(207) 743-0027
(207) 743-0051
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
015596
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061139
ANTHEM
—
05
—
325120099
—
ME
05
—
431545400
—
ME
01
—
M2307901
CIGNA
—
01
—
MM8909
MEDICARE
—
01
—
NX3033
MEDICARE PTAN
—
01
—
P00184354
RAILROAD MEDICARE
—
Enumeration date
09/14/2007
Last updated
08/09/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up