Mark B Weatherbee OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT617 Issued in ME

Legal business name

MARK B WEATHERBEE OD

Practice address

26 Enfield Road
Lincoln, ME 04457

Phone

(207) 794-2020

Fax

(207) 794-2020

NPI assigned

May 19, 2008

Last updated

May 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Norlyn M Epp

Title

Business Manager

Phone

(207) 794-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark B Weatherbee, OD

  • Optometrist
  • Lincoln, ME
  • NPI 1184615635
  NPD

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1730346743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "04457",
            "telephone_number": "207-794-2020",
            "fax_number": "207-794-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ENFIELD ROAD",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "04457",
            "telephone_number": "207-794-2020",
            "fax_number": "207-794-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK B WEATHERBEE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "EPP",
        "authorized_official_first_name": "NORLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "207-794-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0477200001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlee Maddonald, RDH
• Maine Community Support Services
• Maine School Administration District #67
• Diksha Malik, MD
• Christopher John Mannari, PA-C
• Bailey Gordon Markie, RPH
• Sarah Marston, LCPC-C
• Bert E Mason, D.P.M.
• Kandi Matamoros
• Kate Yarrow Maurer, PA-C

• Optometrist in Lincoln, ME
• Providers in Lincoln, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.