Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sydney Ann Butalla, OD

Individual provider Optometrist · NPI 1639918980

Sydney Ann Butalla, OD is an Optometry in Portland, Maine. Graduated from New England College of Optometry in 2024, 2 years ago. Practices with Eyes on Rosemont LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
2
Trained at
New England College of Optometry
Licensed in
ME
In the registry since
2024
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

152 Middle St
Portland, ME 04101-4123
Phone: (207) 775-1819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 595 Brighton Ave, Portland, ME 04102-2322 — (207) 210-6700

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT1088 (ME)

Record details

NPI number1639918980
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 24, 2024
Last updated in NPPESJune 11, 2025
Certification dateMay 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice Eyes On Rosemont Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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