Organization Active NPI

Joseph V Barresi Odpa

  • Optometrist
  • Fort Kent, ME
National Provider Identifier
1164555603
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOSEPH V BARRESI ODPA
Practice address
12 W Main St
Fort Kent, ME 04743-1231
Phone
(207) 834-3124
Fax
(207) 834-3127
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Dr. David A Mitchell, OD
Title
President
Phone
(207) 834-3124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

12 W Main St
Fort Kent, ME 04743-1231

Mailing address

12 W Main St
Fort Kent, ME 04743-1231
Phone (207) 834-3124

Other identifiers 6

IdentifierTypeStateIssuer
109310000MedicaidME
2022593OtherMEAETNA
8047994OtherMECIGNA
A08007219OtherDMERC SUBMITTER NUMBER
024174OtherMEANTHEM
410046313OtherRR MEDICARE

Other names 1

  • Barresi & Mitchell OD's Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1164555603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431231",
            "telephone_number": "207-834-3124",
            "fax_number": "207-834-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431231",
            "telephone_number": "207-834-3124",
            "fax_number": "207-834-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH V BARRESI ODPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-834-3124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109310000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2022593",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8047994",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC SUBMITTER NUMBER",
            "identifier": "A08007219",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "024174",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410046313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barresi & Mitchell OD's",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Kent, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.