Individual provider Active NPI

Robert Fulton Murray III, O.D.

  • Optometrist
  • Portland, ME
National Provider Identifier
1437231883
Registry record updated May 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT580 Issued in ME
Practice address
449 Forest Ave
Ste 8
Portland, ME 04101-2008
Phone
(207) 773-3232
Fax
(207) 773-3240
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT580 ME Primary

Addresses

Primary practice location

449 Forest Ave
Ste 8
Portland, ME 04101-2008

Mailing address

449 Forest Ave
Ste 8
Portland, ME 04101-2008
Phone (207) 773-3232

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
I20040212000653 ME Practitioner - Optometry 0244124865 Practice locations: Portland, ME

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

449 Forest Ave
Portland, ME 04101-2008
Phone (207) 773-3232

449 Forest Ave
Suite 8
Portland, ME 04101-2041

8 Meadow Rd Apt
Suite 2
Raymond, ME 04071-6450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT580MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Today, PA Optometrist Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1437231883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 FOREST AVE",
            "address_2": "STE 8",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012008",
            "telephone_number": "207-773-3232",
            "fax_number": "207-773-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 FOREST AVE",
            "address_2": "STE 8",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012008",
            "telephone_number": "207-773-3232",
            "fax_number": "207-773-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "ROBERT",
        "middle_name": "FULTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.