Individual provider Active NPI

Parise Marie Chamberland, O.D.

  • Optometrist
  • Lewiston, ME
National Provider Identifier
1104924174
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT785 Issued in ME
Practice address
633 Main St
Lewiston, ME 04240-5938
Phone
(207) 783-8243
Fax
(207) 783-0021
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT785 ME Primary

Addresses

Primary practice location

633 Main St
Lewiston, ME 04240-5938

Mailing address

633 Main St
Lewiston, ME 04240-5938
Phone (207) 783-8243

Other identifiers 3

IdentifierTypeStateIssuer
048844OtherMEANTHEM BLUE CROSS
265930099MedicaidME
5536080001OtherMEDME

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
I20050725000706 ME Practitioner - Optometry 7517994296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chamberland and Cote Eye Care, P.a., LLCGroup PAC ID 9133153224, 3 clinicians

Practice addresses (Care Compare)

633 Main St
Lewiston, ME 04240-5938
Phone (207) 783-8243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT785MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chamberland & Cote Eye Care, P.a., LLC Optometrist CurrentSince Sep 1, 2005 Accepting new patients

Locations

633 Main St
Lewiston, ME 04240
Phone (207) 783-8243

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1104924174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405938",
            "telephone_number": "207-783-8243",
            "fax_number": "207-783-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405938",
            "telephone_number": "207-783-8243",
            "fax_number": "207-783-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAND",
        "first_name": "PARISE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "048844",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265930099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5536080001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.