Active NPI
Nathan H Drum, OD
- Optometrist
- Colebrook, NH
National Provider Identifier
1386620789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 552
- Practice address
- 109 Main St Ste 2
Colebrook, NH 03576-2110 - Phone
- (603) 237-4500
- Fax
- (603) 237-9900
- NPI assigned
- Dec 16, 2005
- Last updated
- Jan 23, 2024
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0300000272 | VT | |
| Optometrist | 152W00000X | 552 | NH | Primary |
Addresses
Primary practice location
109 Main St Ste 2
Colebrook, NH 03576-2110
Mailing address
109 Main St Ste 2
Colebrook, NH 03576-2110
Phone (603) 237-4500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30010684 | Medicaid | NH | |
| 0903642Y0NH01 | Other | NH | BC BS |
| 410036263 | Other | NH | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051022000174 | NH | Practitioner - Optometry | 7315963998 | Practice locations: Colebrook, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
109 Main St
Suite 2
Colebrook, NH 03576-2110
Phone (603) 237-4500
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.22 of 100
- Quality
- 62.43
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 552 | NH | MD | Optometrist |
| 0300000272 | VT | MD | Optometrist |
| 0552 | NH | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathan H Drum, OD | Optometrist | Current | Accepting new patients |
| Nathan H Drum | Optometrist | Current | Accepting new patients |
| Envision Eye Care, PLLC | Optometrist | Past | Accepting new patients |
| William S Holmes, OD | Optometrist | Past | Accepting new patients |
Locations
109 Main St
Ste 2
Colebrook, NH 03576
Phone (603) 237-4500
95 Main St
Lancaster, NH 03584
Phone (603) 788-2031
Interoperability endpoints
- nathan.drum@direct.revolutionehr.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Lancaster, NH
- NPI 1275773178
-
- Optometrist
- Colebrook, NH
- NPI 1104065994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1386620789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 MAIN ST STE 2",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "035762110",
"telephone_number": "603-237-4500",
"fax_number": "603-237-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 MAIN ST STE 2",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "035762110",
"telephone_number": "603-237-4500",
"fax_number": "603-237-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUM",
"first_name": "NATHAN",
"middle_name": "H",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2024-01-23",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VT",
"license": "0300000272",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30010684",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "0903642Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "410036263",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colebrook, NH
- Coos County Family Health Services, Inc
- Coos County Family Health Services, Inc (Coos County Family Health - Colebrook Site)
- Brandi R Covell
- Elizabeth Anne Denauw, PA-C
- Suzan Dewitt
- Taylor Dupont
- Enlighten Nutrition & Wellness, LLC
- Expressmed, LLC (North Country Medical and Wellness)
- Margaret R Fitzgerald, ANP
- John J Fothergill, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.