Active NPI
Christopher Brightbill, O.D.
- Optometrist
- Bangor, ME
National Provider Identifier
1346653425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT952
- Practice address
- 1 Ridgewood Dr
Bangor, ME 04401-2652 - Phone
- (207) 945-6200
- NPI assigned
- Jun 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | OPT952 | ME | Primary |
Addresses
Primary practice location
1 Ridgewood Dr
Bangor, ME 04401-2652
Mailing address
1 Ridgewood Dr
Bangor, ME 04401-2652
Phone (207) 945-6200
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
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
743 Broadway
South Portland, ME 04106-4419
Phone (207) 799-3031
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT952 | ME | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor View Eye Care, LLC | Optometrist | Current | Accepting new patients |
Locations
743 Broadway
South Portland, ME 04106
Phone (207) 799-3031
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.
-
- Optometrist
- South Portland, ME
- NPI 1073773487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1346653425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RIDGEWOOD DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012652",
"telephone_number": "207-945-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RIDGEWOOD DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012652",
"telephone_number": "207-945-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHTBILL",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-06",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "OPT952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.