OrganizationActive
Roger R Gagnon
NPI 1649464983 · Optometrist · South Portland, ME
Roger R Gagnon is a Optometrist organization in South Portland, ME (NPI 1649464983).
Provider details
- NPI number
- 1649464983
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Roger Gagnon, Ceo(207) 775-2030
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
510 Maine Mall
South Portland, ME 04106-3238
Phone: (207) 775-2030
Street-level locationGet directions
Mailing address
510 Maine Mall
South Portland, ME 04106-3238
Other names (DBA / former)
- Doing business as
- Maine Mall Eye Care
Registry dates
- Enumerated
- 2007-08-29
- Last updated
- 2007-12-05
Frequently asked questions
- What is Roger R Gagnon's NPI number?
- Roger R Gagnon's National Provider Identifier (NPI) is 1649464983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roger R Gagnon?
- Roger R Gagnon is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Roger R Gagnon located?
- Roger R Gagnon's practice location on file with NPPES is 510 Maine Mall, South Portland, ME 04106-3238.
- What is Roger R Gagnon's phone number?
- The practice phone number listed in the NPPES registry for Roger R Gagnon is (207) 775-2030.
- Who is the authorized official for Roger R Gagnon?
- The authorized official listed on Roger R Gagnon's NPPES record is Roger Gagnon, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roger R Gagnon's NPI active?
- Yes — Roger R Gagnon's NPI (1649464983) is active in the NPPES registry as of the last update on 2007-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.