Individual provider Active NPI

Renee Caron Whelan, O.D.

  • Optometrist
  • Falmouth, ME
National Provider Identifier
1285618355
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT706 Issued in ME
Practice address
75 Leighton Rd
Falmouth, ME 04105-2207
Phone
(207) 797-2990
Fax
(207) 772-2097
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT706 ME Primary

Addresses

Primary practice location

75 Leighton Rd
Falmouth, ME 04105-2207

Mailing address

75 Leighton Rd
Falmouth, ME 04105-2207
Phone (207) 797-2990

Other identifiers 3

IdentifierTypeStateIssuer
3130625OtherMEATENA
039584OtherMEANTHEM/BCIBS
130300000MedicaidME

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
I20050608000867 ME Practitioner - Optometry 8921041120 Reassigns benefits to 1 organization
Practice locations: Falmouth, ME

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brighton Eye Care PAGroup PAC ID 9537479787, 5 clinicians

Practice addresses (Care Compare)

75 Leighton Rd
Falmouth, ME 04105-2207
Phone (207) 797-2990

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Eye Care PA Optometrist CurrentSince Nov 5, 2015 Accepting new patients

Locations

75 Leighton Rd
Falmouth, ME 04105
Phone (207) 797-2990

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.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1285618355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LEIGHTON RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052207",
            "telephone_number": "207-797-2990",
            "fax_number": "207-797-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LEIGHTON RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052207",
            "telephone_number": "207-797-2990",
            "fax_number": "207-772-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "RENEE",
        "middle_name": "CARON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATENA",
            "identifier": "3130625",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCIBS",
            "identifier": "039584",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130300000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.