Individual provider Active NPI

Matthew A Thees, OD

  • Optometrist
  • Portland, ME
National Provider Identifier
1376549451
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT842 Issued in ME
Practice address
15 Lowell St
Portland, ME 04102-2748
Phone
(207) 774-8277
Fax
(207) 699-5850
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT842 ME Primary

Addresses

Primary practice location

15 Lowell St
Portland, ME 04102-2748

Mailing address

15 Lowell St
Portland, ME 04102-2748
Phone (207) 774-8277

Other identifiers 1

IdentifierTypeStateIssuer
319800099MedicaidME

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
I20050531000460 ME Practitioner - Optometry 1456393560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Eye Center PAGroup PAC ID 0446240634, 19 clinicians
Mobile Eye Care of Maine LLCGroup PAC ID 5294814059, 2 clinicians

Practice addresses (Care Compare)

15 Lowell St
Portland, ME 04102-2726
Phone (207) 774-8277

880 Forest Ave
Portland, ME 04103-4128
Phone (207) 797-8777

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Eye Center, PA Current Accepting new patients
Mobile Eye Care of Maine, LLC Optometrist CurrentSince Oct 18, 2007 Accepting new patients
Maine Eye Center, PA CurrentSince May 1, 2005 Accepting new patients
Maine Eye Center, PA Optometrist CurrentSince May 1, 2005 Accepting new patients

Locations

1685 Congress St
Ste 202
Portland, ME 04102
Phone (207) 828-2020

15 Lowell St
Portland, ME 04102
Phone (207) 774-8277

Interoperability endpoints

  • Direct secure messaging: mthees@maineeyecenter.intellechartdirect.net

Organizations & group practices 4

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1376549451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LOWELL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022748",
            "telephone_number": "207-774-8277",
            "fax_number": "207-699-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LOWELL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022748",
            "telephone_number": "207-774-8277",
            "fax_number": "207-699-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEES",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319800099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.