Provider Demographics
NPI:1609979244
Name:MCCANN, JOHN F (OD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:MCCANN
Suffix:
Gender:M
Credentials:OD
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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:04605-1850
Mailing Address - Country:US
Mailing Address - Phone:207-667-9093
Mailing Address - Fax:207-664-0420
Practice Address - Street 1:248 STATE ST
Practice Address - Street 2:STE 7
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-1850
Practice Address - Country:US
Practice Address - Phone:207-667-9093
Practice Address - Fax:207-664-0420
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEOPT506152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME6019OtherDAVIS VISION
ME130670OtherCOLE MANAGED VISION
ME20252OtherCOAST TO COAST
MEMN4019OtherHARVARD PILGRIM
METO15239OtherSPECTERA
ME200003OtherNVA
MEMN4019OtherHEALTH PLANS, INC.
ME11223756OtherCAQH
ME2231828OtherAETNA - NON HMO
ME393723OtherHOYA
ME2076679093OtherEYEFINITY
ME20199OtherHNA
MEME0506OtherEYEMED
MEEYECARENOWOtherUNITED HEALTH CARE
MEM10770OtherHEALTH SOURCE
ME005951OtherANTHEM BCBS
ME5515279OtherAETNA - HMO
ME706124Medicare PIN