Individual provider Active NPI

Nathan Corbell, PH.D., O.D.

  • Optometrist
  • Scarborough, ME
National Provider Identifier
1215133541
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT907 Issued in ME
Practice address
25 Hannaford Dr.
Scarborough, ME 04074
Phone
(207) 396-6603
Fax
(207) 396-6604
NPI assigned
Jun 24, 2007
Last updated
Apr 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 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 OPT907 ME Primary

Addresses

Primary practice location

25 Hannaford Dr.
Scarborough, ME 04074

Mailing address

25 Hannaford Drive
Scarborough, ME 04074
Phone (207) 396-6603

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
I20090218000169 ME Practitioner - Optometry 5294760310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Hannaford Dr
Scarborough, ME 04074-9057
Phone (207) 396-6603

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
OPT907MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan Corbell, PHD, OD, Inc Optometrist CurrentSince May 20, 2012 Accepting new patients

Locations

25 Hannaford Dr
Scarborough, ME 04074
Phone (207) 396-6603

510 Maine Mall
South Portland, ME 04106
Phone (207) 775-2030

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, 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": "1182643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1215133541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HANNAFORD DRIVE",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-396-6603",
            "fax_number": "207-396-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HANNAFORD DR.",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-396-6603",
            "fax_number": "207-396-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBELL",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "PH.D., O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-24",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.