Individual provider Active NPI

Norman Kenneth Ferguson III, OD

  • Optometrist
  • Fryeburg, ME
National Provider Identifier
1174592919
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT699TA Issued in ME
Practice address
479 Main St
Fryeburg, ME 04037-1118
Phone
(207) 935-3307
Fax
(207) 935-4002
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT699TA ME Primary

Addresses

Primary practice location

479 Main St
Fryeburg, ME 04037-1118

Mailing address

479 Main St
Fryeburg, ME 04037-1118
Phone (207) 935-3307

Other identifiers 4

IdentifierTypeStateIssuer
09Y002162ME01OtherNHANTHEM BXBS
010448803001OtherCIGNA
015125OtherBXBS
699TAOtherCBA

Other names 1

  • Dr. N Scott Ferguson Professional name

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
I20041201000313 ME Practitioner - Optometry 6406811421 Reassigns benefits to 1 organization
Practice locations: Fryeburg, ME

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

479 Main St
Fryeburg, ME 04037-1118
Phone (207) 935-3307

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT699TAMEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
N Scott Ferguson O.D. CurrentSince Jun 21, 2002 Accepting new patients
Dr N Scott Ferguson Optometrist CurrentSince Apr 1, 2020 Accepting new patients
Mountain View Eyecare, P.a. Optometrist PastSince Jan 2, 2009 Accepting new patients
Mountain View Eyecare, PA Optometrist Past Accepting new patients

Locations

479 Main St
Fryeburg, ME 04037
Phone (207) 935-3307

Organizations & group practices 4

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1174592919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 MAIN ST",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "040371118",
            "telephone_number": "207-935-3307",
            "fax_number": "207-935-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 MAIN ST",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "040371118",
            "telephone_number": "207-935-3307",
            "fax_number": "207-935-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "NORMAN",
        "middle_name": "KENNETH",
        "name_suffix": "III",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT699TA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BXBS",
            "identifier": "09Y002162ME01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "010448803001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "015125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA",
            "identifier": "699TA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N",
            "last_name": "FERGUSON",
            "middle_name": "SCOTT",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fryeburg, ME

Sources for this page

Verify at the official NPI Registry.