Individual provider Active NPI

Elizabeth Garland Neville, OD

  • Optometrist
  • Camden, ME
National Provider Identifier
1558524397
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT969 Issued in ME
Practice address
38 Curtis Ave
Camden, ME 04843-2008
Phone
(207) 236-3429
NPI assigned
Jul 2, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4408 FL
Optometrist 152W00000X OPT969 ME Primary

Addresses

Primary practice location

38 Curtis Ave
Camden, ME 04843-2008

Mailing address

PO Box 597
Camden, ME 04843-0597
Phone (207) 236-3429

Other identifiers 1

IdentifierTypeStateIssuer
005577800MedicaidFL

Other names 1

  • Elizabeth Marie Garland Former name

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
I20160812000028 ME Practitioner - Optometry 3779622352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camden Hills Eye Care LLCGroup PAC ID 6507127156, 2 clinicians

Practice addresses (Care Compare)

38 Curtis Ave
Camden, ME 04843-2008
Phone (207) 236-3429

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT969MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Camden Hills Eye Care LLC Optometrist CurrentSince Sep 22, 2017 Accepting new patients
Dr Steven P Lary Optometrist PastSince Jul 24, 2022 Accepting new patients

Locations

38 Curtis Ave
Camden, ME 04843
Phone (207) 236-3300

Organizations & group practices 3

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558524397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048430597",
            "telephone_number": "207-236-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CURTIS AVE",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048432008",
            "telephone_number": "207-236-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILLE",
        "first_name": "ELIZABETH",
        "middle_name": "GARLAND",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4408",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005577800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GARLAND",
            "middle_name": "MARIE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camden, ME

Sources for this page

Verify at the official NPI Registry.