Organization Active NPI

Thomas P. Nadeau,O.D.,P.C.

Doing business as Sheepscot Eye Associates

  • Eyewear Supplier
  • Boothbay Harbor, ME
National Provider Identifier
1558539551
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPT603 Issued in ME
Legal business name
THOMAS P. NADEAU,O.D.,P.C.
Doing business as
Sheepscot Eye Associates
Practice address
145 Townsend Ave
Boothbay Harbor, ME 04538-1845
Phone
(207) 633-3035
Fax
(207) 633-6079
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Thomas P Nadeau, O.D.NPI 1275520975
Title
Owner
Phone
(207) 633-3035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPT603 ME Primary

Addresses

Primary practice location

145 Townsend Ave
Boothbay Harbor, ME 04538-1845

Mailing address

PO Box 455
Boothbay Harbor, ME 04538-0455
Phone (207) 633-3035

Other names 1

  • Sheepscot Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930025095 ME DME Supplier - Physician - Optometrist 6507983186 Practice locations: Boothbay Harbor, ME
O20160502001767 ME Part B Supplier - Clinic/Group Practice 6507983186 Receives reassigned benefits from 1 practitioner
Practice locations: Boothbay Harbor, ME

National Provider Directory

National Provider Directory

Locations

145 Townsend Ave
Boothbay Harbor, ME 04538
Phone (207) 633-3035

165 Bath Rd
Wiscasset, ME 04578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1558539551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045380455",
            "telephone_number": "207-633-3035",
            "fax_number": "207-633-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 TOWNSEND AVE",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381845",
            "telephone_number": "207-633-3035",
            "fax_number": "207-633-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS P. NADEAU,O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "NADEAU",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-633-3035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "ME",
            "license": "OPT603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheepscot Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boothbay Harbor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.