MEDICARE: ADVANCED CLINICAL EYECARE OF SOUTHERN MAINE, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1679044739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CLINICAL EYECARE OF SOUTHERN MAINE, P.C.

Provider Business Mailing Address
First Line	:	335 MAINE MALL RD
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-3214
Country	:	US
Telephone Number	:	207-771-7968
Fax Number	:	207-771-7983

Provider Business Practice Location Address
First Line	:	335 MAINE MALL RD
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-3214
Country	:	US
Telephone Number	:	207-771-7968
Fax Number	:	207-771-7983

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JONATHAN F OLMES
Credential	:	OD
Telephone Number	:	207-771-7968

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	02/13/2019

Similar Medicare Providers

1033415179 — EYEMART EXPRESS LTD
Practice Location Address:

335 MAINE MALL RD
SOUTH PORTLAND, ME
04106-3214

Practice Phone: 207-771-7962
Practice Fax: 207-771-7984

1013216431 — RONALD M. CEDRONE OD, LLC
Practice Location Address:

335 MAINE MALL RD
SOUTH PORTLAND, ME
04106-3214

Practice Phone: 207-771-7968
Practice Fax: 207-771-7983

1316345200 — EYEMART EXPRESS LLC
Practice Location Address:

335 MAINE MALL RD
SOUTH PORTLAND, ME
04106-3214

Practice Phone: 207-771-7962
Practice Fax: 207-771-7984

1407141724 — CHRISTOPHER RYAN KLAUS M.D.
Practice Location Address:

1 RIVER ST , THUNDERMIST OF SOUTH COUNTY
WAKEFIELD, RI
02879-3214

Practice Phone: 401-783-0523
Practice Fax:

1871955070 — HILLARY CATHLEEN GREENE FNP, RN
Practice Location Address:

1 RIVER ST
SOUTH KINGSTOWN, RI
02879-3214

Practice Phone: 401-783-5646
Practice Fax:

1053864058 — REGINA REEVESSCAIFE
Practice Location Address:

1611 S VERNON ST
SOUTH BEND, IN
46613-3214

Practice Phone: 574-208-7413
Practice Fax:

Directions to “ADVANCED CLINICAL EYECARE OF SOUTHERN MAINE, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.