Provider Demographics
NPI:1609934751
Name:SAVAGE, JAMES PATRICK (OD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PATRICK
Last Name:SAVAGE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-0280
Mailing Address - Country:US
Mailing Address - Phone:207-498-2538
Mailing Address - Fax:207-498-2539
Practice Address - Street 1:43 HATCH DR
Practice Address - Street 2:SUITE 150
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-2161
Practice Address - Country:US
Practice Address - Phone:207-498-2538
Practice Address - Fax:207-498-2539
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT714152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME410005857OtherRAILROAD MEDICARE
ME006663OtherANTHEM
ME247110099Medicaid
MEMN0070Medicare UPIN
ME247110099Medicaid