Individual provider Active NPI

Scott Wheeler, O.D.

  • Optometrist
  • Patten, ME
National Provider Identifier
1669489027
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT980 Issued in ME
Practice address
30 Houlton St
Patten, ME 04765
Phone
(207) 528-2285
Fax
(207) 528-2880
NPI assigned
Aug 1, 2006
Last updated
Jan 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT980 ME Primary

Addresses

Primary practice location

30 Houlton St
Patten, ME 04765

Mailing address

529 S Patten Rd
Patten, ME 04765-3007
Phone (207) 528-2285

Other practice location 1

14 Flagg Rd
Hubbardston, MA 01452-1308
Phone (978) 821-3638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061201000342 MA Practitioner - Optometry 1254339112 Reassigns benefits to 1 organization
I20170601000123 ME Practitioner - Optometry 1254339112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katahdin Valley Health CenterGroup PAC ID 4880659903, 66 clinicians

Practice addresses (Care Compare)

33 Walker St
Ashland, ME 04732-3429
Phone (207) 528-2285

59 Bangor St
Houlton, ME 04730-1740
Phone (207) 528-2285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT980MEMDOptometrist
4574MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Sep 30, 2006 Accepting new patients
Katahdin Valley Health Center Current Accepting new patients
Katahdin Valley Health Center CurrentSince Jun 6, 2017 Accepting new patients
Christian Iyore Inc Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Sep 30, 2006 Accepting new patients
Katahdin Valley Health Center CurrentSince Jun 6, 2017 Accepting new patients
Katahdin Valley Health Center Past Accepting new patients

Locations

80 Erdman Way
Ste 205
Leominster, MA 01453
Phone (978) 534-1222

19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122

650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318

33 Walker St
Ashland, ME 04732
Phone (207) 435-6341

180 Main Rd
Brownville, ME 04414
Phone (207) 965-8700

188 Summer St
Dover Foxcroft, ME 04426
Phone (207) 447-4975

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

50 Summer St
Millinocket, ME 04462
Phone (207) 723-6565

30 Houlton St
Patten, ME 04765
Phone (866) 366-5842

529 S Patten Rd
Patten, ME 04765

Interoperability endpoints

  • Direct secure messaging: scott.wheeler.1@7377.direct.athenahealth.com

Organizations & group practices 7

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1669489027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S PATTEN RD",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047653007",
            "telephone_number": "207-528-2285",
            "fax_number": "207-528-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOULTON ST",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "04765",
            "telephone_number": "207-528-2285",
            "fax_number": "207-528-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Flagg Rd",
            "address_purpose": "LOCATION",
            "city": "Hubbardston",
            "state": "MA",
            "postal_code": "014521308",
            "country_code": "US",
            "telephone_number": "978-821-3638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patten, ME

Sources for this page

Verify at the official NPI Registry.