Individual provider Active NPI

Luke Gamble, O.D.

  • Optometrist
  • Bangor, ME
National Provider Identifier
1184997215
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT923 Issued in ME
Practice address
1 Ridgewood Dr
Bangor, ME 04401-2652
Phone
(207) 945-6200
NPI assigned
Feb 21, 2012
Last updated
Feb 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT923 ME Primary

Addresses

Primary practice location

1 Ridgewood Dr
Bangor, ME 04401-2652

Mailing address

1 Ridgewood Dr
Bangor, ME 04401-2652
Phone (207) 945-6200

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
I20120607000234 ME Practitioner - Optometry 7517121338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Care of Maine LLCGroup PAC ID 2365339744, 6 clinicians

Practice addresses (Care Compare)

1 Ridgewood Dr
Bangor, ME 04401-2652
Phone (207) 945-6200

Merit-based Incentive Payment System (MIPS)

Final score
97.92 of 100Reported as group
Quality
94.37
Improvement activities
40
Cost
86.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT923MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Care of Maine LLC Optometrist CurrentSince Oct 17, 2017 Accepting new patients
Vision Care of Maine Aroostook, LLC Optometrist CurrentSince Aug 25, 2020 Accepting new patients
Vision Care of Maine LLC CurrentSince Oct 17, 2017 Accepting new patients
Vision Care of Maine-Aroostook LLC Optometrist CurrentSince Aug 25, 2020 Accepting new patients
Vision Care of Maine, LLC Optometry Group Optometrist Past Accepting new patients

Locations

1 Ridgewood Dr
Bangor, ME 04401
Phone (207) 667-9690

173 Academy St
Presque Isle, ME 04769
Phone (207) 764-0376

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: luke.gambleod.p1@direct.visioncareofmaine.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1184997215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIDGEWOOD DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012652",
            "telephone_number": "207-945-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIDGEWOOD DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012652",
            "telephone_number": "207-945-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "LUKE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.