Individual provider Active NPI

Jeremy Reid Valentine, M.D.

  • Ophthalmology Physician
  • Millinocket, ME
National Provider Identifier
1013191584
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD21434 Issued in ME
Practice address
899 Central St
Millinocket, ME 04462-2125
Phone
(207) 723-5376
NPI assigned
Dec 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD.201515 LA
Ophthalmology Physician 207W00000X 7607529-1205 UT
Ophthalmology Physician 207W00000X MD21434 ME Primary

Addresses

Primary practice location

899 Central St
Millinocket, ME 04462-2125

Mailing address

1 Ridgewood Dr
Bangor, ME 04401-2652
Phone (207) 945-6200

Other practice location 1

1055 N 500 W
Suite 201
Provo, UT 84604-3305
Phone (801) 375-6565

Other identifiers 1

IdentifierTypeStateIssuer
1013191584MedicaidME

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
I20170222000081 ME Practitioner - Ophthalmology 3678604501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Care of Maine LLCGroup PAC ID 2365339744, 6 clinicians

Practice addresses (Care Compare)

1 Ridgewood Dr
Bangor, ME 04401-2652
Phone (207) 945-6200

173 Academy St
Presque Isle, ME 04769-3103
Phone (207) 764-0376

Merit-based Incentive Payment System (MIPS)

Final score
97.92 of 100Reported as group
Quality
94.37
Improvement activities
40
Cost
86.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.201515LAMDOphthalmology Physician
MD21434MEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Care of Maine-Aroostook LLC Ophthalmology CurrentSince Oct 8, 2017 Accepting new patients
Vision Care of Maine Aroostook, LLC Ophthalmology CurrentSince Oct 8, 2017 Accepting new patients
Vision Care of Maine LLC CurrentSince Mar 1, 2017 Accepting new patients
Vision Care of Maine LLC Ophthalmology CurrentSince Mar 1, 2017 Accepting new patients
Vision Care of Maine, LLC Optometry Group Past Accepting new patients

Locations

1 Ridgewood Dr
Bangor, ME 04401
Phone (207) 945-6200

9 Katahdin Ln
Houlton, ME 04730
Phone (207) 532-2974

309 Saint Thomas St
Ste 205
Madawaska, ME 04756
Phone (207) 728-6336

899 Central St
Millinocket, ME 04462
Phone (207) 723-5173

173 Academy St
Presque Isle, ME 04769
Phone (207) 764-0376

187 State St
Presque Isle, ME 04769
Phone (207) 764-0376

Interoperability endpoints

  • Direct secure messaging: jeremy.valentinemd.p1@direct.visioncareofmaine.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013191584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIDGEWOOD DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012652",
            "telephone_number": "207-945-6200",
            "fax_number": "207-990-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 CENTRAL ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044622125",
            "telephone_number": "207-723-5376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N 500 W",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846043305",
            "country_code": "US",
            "telephone_number": "801-375-6565",
            "fax_number": "801-373-9750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "JEREMY",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.201515",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "7607529-1205",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "MD21434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013191584",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millinocket, ME

Sources for this page

Verify at the official NPI Registry.