Individual provider Active NPI

Andrew Kaper

  • Optometrist
  • Waterville, ME
National Provider Identifier
1558711531
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT972 Issued in ME
Practice address
166 Silver St
Waterville, ME 04901-5815
Phone
(207) 873-3500
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT972 ME Primary

Addresses

Primary practice location

166 Silver St
Waterville, ME 04901-5815

Mailing address

166 Silver St
Waterville, ME 04901-5815

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
I20161017000694 ME Practitioner - Optometry 1850689324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerbrook Plaza Eye Care P aGroup PAC ID 6406033778, 3 clinicians

Practice addresses (Care Compare)

1040 Brighton Ave
Portland, ME 04102-1030
Phone (207) 253-5333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT972MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerbrook Plaza Eye Care P a Optometrist CurrentSince Jun 1, 2022 Accepting new patients

Locations

1040 Brighton Ave
Portland, ME 04102
Phone (207) 253-5333

Organizations & group practices 2

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1558711531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015815",
            "telephone_number": "207-873-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPER",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.