Active NPI
Nathan Corbell, PH.D., O.D.
- Optometrist
- Scarborough, ME
National Provider Identifier
1215133541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT907
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT907 | ME | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathan Corbell, PHD, OD, Inc | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.