Active NPI
Nicole C Shipp, O.D.
- Corneal and Contact Management Optometrist
- Farmingdale, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OPT787
- Practice address
- 484 Maine Ave
Farmingdale, ME 04344-0002 - Phone
- (207) 582-5800
- Fax
- (207) 588-0743
- NPI assigned
- Oct 17, 2006
- Last updated
- Jan 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OPT787 | ME | Primary |
Addresses
Primary practice location
484 Maine Ave
Farmingdale, ME 04344-0002
Mailing address
484 Maine Ave
Farmingdale, ME 04344-0002
Phone (207) 582-5800
Other practice location 1
824 Stillwater Ave
Bangor, ME 04401-3614
Phone (207) 947-7554
Other practice location 2
255 Western Ave
Augusta, ME 04330-4933
Phone (207) 622-5800
Other practice location 3
331 Maine St., Suite 1
Brunswick, ME 04011-3359
Phone (207) 725-2161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337660099 | Medicaid | ME |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
484 Maine Ave
Farmingdale, ME 04344-0002
Phone (207) 582-5800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT787 | ME | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Vision, LLC | Corneal and Contact Management | Current | Accepting new patients |
| Smart Vision, LLC | Corneal and Contact Management | Current | Accepting new patients |
Locations
255 Western Ave
Augusta, ME 04330
Phone (207) 622-5800
824 Stillwater Ave
Bangor, ME 04401
Phone (207) 947-7554
484 Maine Ave
Farmingdale, ME 04344
Phone (207) 582-5800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1346320074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 MAINE AVE",
"city": "FARMINGDALE",
"state": "ME",
"postal_code": "043440002",
"telephone_number": "207-582-5800",
"fax_number": "207-588-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 MAINE AVE",
"city": "FARMINGDALE",
"state": "ME",
"postal_code": "043440002",
"telephone_number": "207-582-5800",
"fax_number": "207-588-0743"
}
],
"practiceLocations": [
{
"address_1": "824 Stillwater Ave",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044013614",
"country_code": "US",
"telephone_number": "207-947-7554",
"fax_number": "207-945-0085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "255 Western Ave",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "ME",
"postal_code": "043304933",
"country_code": "US",
"telephone_number": "207-622-5800",
"fax_number": "207-621-2790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "331 Maine St., Suite 1",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "ME",
"postal_code": "040113359",
"country_code": "US",
"telephone_number": "207-725-2161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIPP",
"first_name": "NICOLE",
"middle_name": "C",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "ME",
"license": "OPT787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "337660099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmingdale, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.