PETER DOUGLAS PARADIS (O.D.) – Optometrist, NPI 1912900309

PETER DOUGLAS PARADIS (O.D.) is a healthcare provider. based in Waterville, Maine. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT820 (ME). The NPI Number for PETER DOUGLAS PARADIS (O.D.) is 1912900309

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
PETER DOUGLAS PARADIS (O.D.)
NPI
1912900309
Phone
(207) 872-2797
Address
216 MAIN ST
Enumeration Date
31 May 2005
Last Update Date
22 November 2013

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
2078722797
Graduation Year
1998 (28 years ago)
PAC ID
5799826137
Group Practice PAC ID
6406877703
Professional Enrollment ID
I20100107000725
Address ID
ME049016116WA216XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

219 OPTOMETRY in ME

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Provider Addresses for PETER DOUGLAS PARADIS (O.D.)

  • 216, Main Street, Waterville, Kennebec County, Maine, 04901, United States

    WATERVILLE, ME 049016116

    Phone: (207) 872-2797

    Fax: (207) 872-2793

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $340.

Total Amount is formed as General ($340) + Research ($0) + Ownership ($0) = $340.

Last reported payment date: 2024-10-26 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($74).

Total Amount

$340

General + Research + Ownership

Payments

17

Total payment records

General Amount

$340

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100107000725IOptometryMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system237237$0
92250Photography of the retina161157$0
92012Established patient problem focused exam of visual system13397$0
92083Exam of visual field with extended testing3333$0
92133Imaging of optic nerve3332$0
View full utilization report →

Insurance plans in this area (ZIP 04901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406877703View full group profile
NameSpecialtyState
O P T O M E T R YME
O P T O M E T R YME
O P T O M E T R YME
-ME

Reviews

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Frequently asked questions

What identifier follows PETER DOUGLAS PARADIS (O.D.) across health systems?
The NPI 1912900309 uniquely identifies PETER DOUGLAS PARADIS (O.D.) in U.S. healthcare data.
Is PETER DOUGLAS PARADIS (O.D.)'s NPI status active today?
Active status means PETER DOUGLAS PARADIS (O.D.)'s NPI record is not deactivated in the public file.
How should patients interpret PETER DOUGLAS PARADIS (O.D.)'s specialty?
The extract shows Optometrist for PETER DOUGLAS PARADIS (O.D.). Clinical services aligned with this taxonomy classification.
Can patients visit PETER DOUGLAS PARADIS (O.D.) in Waterville, Maine?
For routing, start with Waterville, Maine for PETER DOUGLAS PARADIS (O.D.), then verify phone and hours locally.
Who maintains PETER DOUGLAS PARADIS (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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