Smart Vision, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT961 Issued in ME

Legal business name

SMART VISION, LLC

Practice address

255 Western Ave
Augusta, ME 04330-4933

Phone

(207) 622-5800

Fax

(207) 621-2790

NPI assigned

Oct 25, 2006

Last updated

Feb 6, 2017By 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

Jessilin Maelia Quint, O.D.NPI 1841603867

Title

President/Optometrist

Phone

(207) 622-5800

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ME2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Smart Vision, LLC

  • Optometrist
  • Farmingdale, ME
  • NPI 1245309400

  8022393230

  Same PAC ID
• Smart Vision, LLC

  • Optometrist
  • Bangor, ME
  • NPI 1811066079

  8022393230

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Smart Vision LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Smart Vision, LLC

  • Optometrist
  • Farmingdale, ME
  • NPI 1245309400
  NPD tax ID
• Smart Vision, LLC

  • Optometrist
  • Bangor, ME
  • NPI 1811066079
  NPD tax ID

Locations

Practitioners 8

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.

• Jessilin Quint, O.D.

  • Optometrist
  • Augusta, ME
  • NPI 1841603867
  Medicare reassignment Care Compare group Authorized official
• Sarah Jayne Gladstone, O.D.

  • Optometrist
  • Bangor, ME
  • NPI 1285829333
  Medicare reassignment Care Compare group NPD
• Nicholas A Holden, O.D.

  • Optometrist
  • Farmingdale, ME
  • NPI 1366891434
  Medicare reassignment Care Compare group NPD
• Nicole C Shipp, O.D.

  • Corneal and Contact Management Optometrist
  • Farmingdale, ME
  • NPI 1346320074
  Medicare reassignment Care Compare group NPD
• James S Brewer, O.D.

  • Optometrist
  • Farmingdale, ME
  • NPI 1336403286
  Medicare reassignment Care Compare group
• Lucie Neron, OD

  • Optometrist
  • Bangor, ME
  • NPI 1568701555
  Medicare reassignment Care Compare group
• Ethan Ranger Taylor, O.D.

  • Optometrist
  • Bangor, ME
  • NPI 1306272406
  Medicare reassignment Care Compare group
• Anne L Tobyne, O.D.

  • Optometrist
  • Farmingdale, ME
  • NPI 1821478371
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1043394885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WESTERN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304933",
            "telephone_number": "207-622-5800",
            "fax_number": "207-621-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 WESTERN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304933",
            "telephone_number": "207-622-5800",
            "fax_number": "207-621-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "QUINT",
        "authorized_official_first_name": "JESSILIN",
        "authorized_official_middle_name": "MAELIA",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "207-622-5800",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125420100",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125420101",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125420001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Slaughter
• Ivelisse Slaven, LCSW
• Sleepmed Therapies
• Nancy Slobodnik
• Dorothy Smail
• Helen R Smart-Perille, PSY.D.
• Andrew Taylor Smith III, D.P.M
• Bradford D Smith, OD
• Carlen Smith
• Catherine D Smith, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.