Mark B Weatherbee, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT617 Issued in ME

Practice address

26 Enfield Rd
Lincoln, ME 04457-1190

Phone

(207) 794-2020

Fax

(207) 794-8288

NPI assigned

Nov 3, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mark B Weatherbee OD

  • Optometrist
  • Lincoln, ME
  • NPI 1730346743
  NPD

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1184615635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044570036",
            "telephone_number": "207-794-2020",
            "fax_number": "207-794-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ENFIELD RD",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044571190",
            "telephone_number": "207-794-2020",
            "fax_number": "207-794-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERBEE",
        "first_name": "MARK",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MEDICARE",
            "identifier": "0477200001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tammy Sue Webb, P.A.
• Kimberly WS Welikadage, OTR/L
• Myra M Whorton, CRNA
• Emily Davis Wilson
• Patricia Yerxa, RNC

• Optometrist in Lincoln, ME
• Providers in Lincoln, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.