Derek Vien

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT1073 Issued in ME

Practice address

242 Bath Rd
Brunswick, ME 04011-2646

Phone

(207) 389-3525

NPI assigned

Jun 22, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maine Optometry PAGroup PAC ID 8022009117, 23 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maine Optometry PA

  • Optometrist
  • Gorham, ME
  • NPI 1437182383
  Medicare reassignment Care Compare group NPD
• Arthur Chapman III OD PA

  • Optometrist
  • Standish, ME
  • NPI 1700068343
  NPD (past)
• Roger L. Bergeron, O.D.P.a.

  • Eyewear Supplier
  • Lewiston, ME
  • NPI 1629249842
  NPD (past)

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1851077101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MORNINGSIDE DR",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062313",
            "telephone_number": "413-949-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 BATH RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112646",
            "telephone_number": "207-389-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEN",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen R Vance, PT, CHT
• Gina M. Vandeusen, M.A.
• Lloyd Vanlunen, MD
• Ashley Renee Vermillion, CNP
• Vettune Inc
• Julia Vigue, RPH
• Robert Clark Vilas, PH.D.
• Otto John Vnek, DDS
• Richard A Voit, PH.D.
• Volunteers of America Northern New England

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.