Individual provider Active NPI

Nicole C Shipp, O.D.

  • Corneal and Contact Management Optometrist
  • Farmingdale, ME
National Provider Identifier
1346320074
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPT787 Issued in ME
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
337660099MedicaidME

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000230 ME Practitioner - Optometry 9436181260 Reassigns benefits to 1 organization

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
Smart Vision LLCGroup PAC ID 8022393230, 8 clinicians

Practice addresses (Care Compare)

484 Maine Ave
Farmingdale, ME 04344-0002
Phone (207) 582-5800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT787MEMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Vision, LLC Corneal and Contact Management CurrentSince Sep 8, 2025 Accepting new patients
Smart Vision, LLC Corneal and Contact Management CurrentSince Sep 8, 2025 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

Verify at the official NPI Registry.