Individual provider Active NPI

Sheridon S Gove, O.D.

  • Optometrist
  • Lewiston, ME
National Provider Identifier
1285997007
Registry record updated Nov 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT925 Issued in ME
Practice address
220 Sabattus St
Lewiston, ME 04240-6347
Phone
(207) 782-9501
Fax
(207) 782-3565
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT925 ME Primary

Addresses

Primary practice location

220 Sabattus St
Lewiston, ME 04240-6347

Mailing address

220 Sabattus St
Lewiston, ME 04240-6347
Phone (207) 782-9501

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
I20121024000365 ME Practitioner - Optometry 2961652136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Sabattus St
Lewiston, ME 04240-6347
Phone (207) 782-9501

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT925MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Health & Contact Lens Center Optometrist CurrentSince Sep 1, 2019 Accepting new patients

Locations

220 Sabattus St
Lewiston, ME 04240
Phone (207) 782-9501

3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668297600000",
    "number": "1285997007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SABATTUS ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406347",
            "telephone_number": "207-782-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SABATTUS ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406347",
            "telephone_number": "207-782-9501",
            "fax_number": "207-782-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVE",
        "first_name": "SHERIDON",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.