Individual provider Active NPI

Abby Small, OD

  • Optometrist
  • Caribou, ME
National Provider Identifier
1013640747
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1055 Issued in ME
Practice address
37 Herschel St
Caribou, ME 04736-2426
Phone
(207) 496-5111
NPI assigned
Jul 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1055 ME Primary

Addresses

Primary practice location

37 Herschel St
Caribou, ME 04736-2426

Mailing address

37 Herschel St
Caribou, ME 04736-2426

Other practice location 1

491 Main St
Presque Isle, ME 04769-2333
Phone (207) 764-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117003805 ME Practitioner - Optometry 0244682078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craig K. Small O.D. Family Eye CareGroup PAC ID 5092840363, 3 clinicians

Practice addresses (Care Compare)

37 Herschel St
Caribou, ME 04736-2426
Phone (207) 496-5111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1055MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig K. Small O.D. Family Eye Care Optometrist CurrentSince Dec 4, 2023 Accepting new patients

Locations

37 Herschel St
Caribou, ME 04736
Phone (207) 496-5111

491 Main St
Presque Isle, ME 04769
Phone (207) 764-5111

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1013640747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 HERSCHEL ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 HERSCHEL ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362426",
            "telephone_number": "207-496-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 Main St",
            "address_purpose": "LOCATION",
            "city": "Presque Isle",
            "state": "ME",
            "postal_code": "047692333",
            "country_code": "US",
            "telephone_number": "207-764-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "ABBY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

Verify at the official NPI Registry.