Active NPI
Nancy L Murray, OD
- Optometrist
- Brewer, ME
National Provider Identifier
1609937390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT670
- Practice address
- 99 State Street
Brewer, ME 04412 - Phone
- (207) 989-7698
- Fax
- (207) 989-4055
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT670 | ME | Primary |
Addresses
Primary practice location
99 State Street
Brewer, ME 04412
Mailing address
PO Box 319
99 State Street
Brewer, ME 04412
Phone (207) 989-7698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609937390 | Other | ME | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT670 | ME | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1609937390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 319",
"address_2": "99 STATE STREET",
"city": "BREWER",
"state": "ME",
"postal_code": "04412",
"telephone_number": "207-989-7698",
"fax_number": "207-989-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 STATE STREET",
"city": "BREWER",
"state": "ME",
"postal_code": "04412",
"telephone_number": "207-989-7698",
"fax_number": "207-989-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "NANCY",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "OPT670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "1609937390",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brewer, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.