Active NPI
Thomas P. Nadeau, O.D.
- Optometrist
- Boothbay Harbor, ME
National Provider Identifier
1275520975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT603
- Practice address
- 145 Townsend Ave
Boothbay Harbor, ME 04538-1845 - Phone
- (207) 633-3035
- Fax
- (207) 633-6079
- NPI assigned
- Sep 29, 2005
- 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 | OPT603 | ME | Primary |
Addresses
Primary practice location
145 Townsend Ave
Boothbay Harbor, ME 04538-1845
Mailing address
145 Townsend Ave
P.O. Box 455
Boothbay Harbor, ME 04538-1834
Phone (207) 633-3035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129790000 | Medicaid | ME |
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
- Southern College of Optometry, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
145 Townsend Ave
Boothbay Harbor, ME 04538-1845
Phone (207) 633-3035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas P. Nadeau,O.D.,P.C. | Optometrist | Current | Accepting new patients |
Locations
145 Townsend Ave
Boothbay Harbor, ME 04538
Phone (207) 633-3035
165 Bath Rd
Wiscasset, ME 04578
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 and National Provider Directory roles.
-
dba Sheepscot Eye Associates
- Eyewear Supplier
- Boothbay Harbor, ME
- NPI 1558539551
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1275520975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 TOWNSEND AVE",
"address_2": "P.O. BOX 455",
"city": "BOOTHBAY HARBOR",
"state": "ME",
"postal_code": "045381834",
"telephone_number": "207-633-3035",
"fax_number": "207-633-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 TOWNSEND AVE",
"city": "BOOTHBAY HARBOR",
"state": "ME",
"postal_code": "045381845",
"telephone_number": "207-633-3035",
"fax_number": "207-633-6079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADEAU",
"first_name": "THOMAS",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "OPT603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129790000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boothbay Harbor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.