Individual provider Active NPI

Janelle Rose Levesque, OD

  • Optometrist
  • Concord, NH
National Provider Identifier
1366002057
Registry record updated Jun 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
992 Issued in NH
Practice address
304 Sheep Davis Rd
Concord, NH 03301-5736
Phone
(603) 226-1255
NPI assigned
Jun 16, 2019
Last updated
Jun 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 992 NH Primary

Addresses

Primary practice location

304 Sheep Davis Rd
Concord, NH 03301-5736

Mailing address

1 Kimball Way
Newmarket, NH 03857-2113
Phone (603) 834-2973

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
I20200608002599 ME Practitioner - Optometry 2163843673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Optometric Associates of Southern Maine PLLCGroup PAC ID 4486053782, 3 clinicians

Practice addresses (Care Compare)

35 Barra Rd
Biddeford, ME 04005-9459
Phone (207) 284-6651

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Associates of Southern Maine PLLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients

Locations

35 Barra Rd
Biddeford, ME 04005
Phone (207) 284-6651

Organizations & group practices 1

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": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1366002057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KIMBALL WAY",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038572113",
            "telephone_number": "603-834-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SHEEP DAVIS RD",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015736",
            "telephone_number": "603-226-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVESQUE",
        "first_name": "JANELLE",
        "middle_name": "ROSE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.