Individual provider Active NPI

Nathan H Drum, OD

  • Optometrist
  • Colebrook, NH
National Provider Identifier
1386620789
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
552 Issued in NH
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30010684MedicaidNH
0903642Y0NH01OtherNHBC BS
410036263OtherNHRR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as individual
Quality
62.43
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
552NHMDOptometrist
0300000272VTMDOptometrist
0552NHMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan H Drum, OD Optometrist CurrentSince Jan 28, 2024 Accepting new patients
Nathan H Drum Optometrist CurrentSince Feb 5, 2009 Accepting new patients
Envision Eye Care, PLLC Optometrist PastSince Jan 1, 2010 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.