Individual provider Active NPI

Alex Mathew Chamberland, OD

  • Optometrist
  • Lewiston, ME
National Provider Identifier
1164115622
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1069 Issued in ME
Practice address
633 Main St
Lewiston, ME 04240-5938
Phone
(207) 783-8243
NPI assigned
May 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1069 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

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
I20240126001194 ME Practitioner - Optometry 1153774013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
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

Practice roles

OrganizationSpecialtyStatusNew patients
Chamberland & Cote Eye Care, P.a., LLC Optometrist CurrentSince Jan 1, 2024 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": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1164115622",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAND",
        "first_name": "ALEX",
        "middle_name": "MATHEW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.