Active NPI
Joseph V Barresi Odpa
- Optometrist
- Fort Kent, ME
National Provider Identifier
1164555603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109310000 | Medicaid | ME | |
| 2022593 | Other | ME | AETNA |
| 8047994 | Other | ME | CIGNA |
| A08007219 | Other | DMERC SUBMITTER NUMBER | |
| 024174 | Other | ME | ANTHEM |
| 410046313 | Other | RR MEDICARE |
Other names 1
- Barresi & Mitchell OD's
National Provider Directory
National Provider DirectoryNPI 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.