Individual provider Active NPI

Maroulla Gleaton, M.D.

  • Ophthalmology Physician
  • Augusta, ME
National Provider Identifier
1881660074
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
012370 Issued in ME
Practice address
227 Eastern Ave
Augusta, ME 04330-5951
Phone
(207) 622-3185
Fax
(207) 622-5697
NPI assigned
Feb 27, 2006
Last updated
Mar 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 012370 ME Primary

Addresses

Primary practice location

227 Eastern Ave
Augusta, ME 04330-5951

Mailing address

227 Eastern Ave
Augusta, ME 04330-5951
Phone (207) 622-3185

Other identifiers 1

IdentifierTypeStateIssuer
106370000MedicaidME

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524000221 ME Practitioner - Ophthalmology 7214979939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
012370MEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlee Gleaton Eye Care PA Ophthalmology CurrentSince Mar 9, 1989 Accepting new patients
Atlee Optical Inc Past Accepting new patients

Locations

227 Eastern Ave
Augusta, ME 04330
Phone (207) 622-3185

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, 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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1881660074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 EASTERN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305951",
            "telephone_number": "207-622-3185",
            "fax_number": "207-622-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 EASTERN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305951",
            "telephone_number": "207-622-3185",
            "fax_number": "207-622-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEATON",
        "first_name": "MAROULLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "012370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106370000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.