William Scott Beveridge, O.D.
Individual provider Active NPI Optometrist · Damariscotta, ME
NPI 1346866068 · NPPES record last updated Jun 22, 2020
Key facts
- NPI
- 1346866068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT1028 (ME)
- Practice address
- 5 Edwards Ave
Damariscotta, ME 04543-4252 - Phone
- (207) 563-3049
- Fax
- (207) 563-3904
- NPI assigned
- Jun 18, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McCormick and Bouchard Eye Care LLC
Practice addresses (Care Compare)
5 Edward Ave
Damariscotta, ME 04543-4252
Phone (207) 563-3049
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200716003832 | ME | Practitioner - Optometry | 2062836505 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCormick and Bouchard Eye Care, LLC | Optometrist | Current |
Accepting new patients |
Locations
5 Edwards Ave
Damariscotta, ME 04543
Phone (207) 563-3049
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT1028 | ME | Yes |
Addresses
Primary practice location
5 Edwards Ave
Damariscotta, ME 04543-4252
Mailing address
5 Edwards Ave
Damariscotta, ME 04543-4252
Phone (207) 563-3049
Other providers in Damariscotta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.