Joseph Philip O'Brien, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

328 Issued in VT

Practice address

100 Dorset St
Ste # 25
South Burlington, VT 05403-6241

Phone

(802) 863-3000

Fax

(802) 863-3001

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Vermont LLCGroup PAC ID 2860741287, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eye Vermont LLC

  • Optometrist
  • South Burlington, VT
  • NPI 1902853559

  VT

  Medicare reassignment Care Compare group
• Northern Valley Eyecare, Inc.

  • Optometrist
  • Saint Albans, VT
  • NPI 1083601587
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1285637249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DORSET ST",
            "address_2": "STE # 25",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036241",
            "telephone_number": "802-863-3000",
            "fax_number": "802-863-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DORSET ST",
            "address_2": "STE # 25",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036241",
            "telephone_number": "802-863-3000",
            "fax_number": "802-863-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JOSEPH",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "4125443",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN3351",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "3733570",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00179942",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD VT",
            "identifier": "68019",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Dee Northrup, MD
• Deborah L Norton, NP
• Dana Renae Notte, RD
• Nova Leap Health NH, LLC
• Novella Infusion LLC
• Kayli O'Donnell, RD
• Peter Paul O'Leary
• Ayla Catherine O'Mara, MA
• Julianne M Occhino, LICSW
• Occupational Health Centers of the Southwest P.a.

• All providers in South Burlington, VT
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.