Individual provider Active NPI

Robert Octave Westcot II, MD

  • Ophthalmology Physician
  • Biddeford, ME
National Provider Identifier
1013986033
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
012847 Issued in ME
Practice address
22 West Cole Road
Biddeford, ME 04005-9430
Phone
(207) 284-5880
Fax
(207) 283-1543
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 012847 ME Primary

Addresses

Primary practice location

22 West Cole Road
Biddeford, ME 04005-9430

Mailing address

22 West Cole Road
Biddeford, ME 04005-9430
Phone (207) 284-5880

Other identifiers 1

IdentifierTypeStateIssuer
126680000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
012847MEMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1013986033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WEST COLE ROAD",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059430",
            "telephone_number": "207-284-5880",
            "fax_number": "207-283-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WEST COLE ROAD",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059430",
            "telephone_number": "207-284-5880",
            "fax_number": "207-283-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTCOT",
        "first_name": "ROBERT",
        "middle_name": "OCTAVE",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "012847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126680000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.