Individual provider Active NPI

Meagan Brandy Cousins, OD

  • Optometrist
  • Freeport, ME
National Provider Identifier
1497422612
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1050 Issued in ME
Practice address
407 US Route 1
Freeport, ME 04032-7023
Phone
(207) 729-8474
NPI assigned
Aug 25, 2021
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1050 ME Primary

Addresses

Primary practice location

407 US Route 1
Freeport, ME 04032-7023

Mailing address

407 US Route 1
Freeport, ME 04032-7023

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcousins@maineoptometry.com

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
I20211001001279 ME Practitioner - Optometry 2567860778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Optometry PAGroup PAC ID 8022009117, 23 clinicians

Practice addresses (Care Compare)

407 US Route 1
Freeport, ME 04032-7023
Phone (207) 729-8474

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1050MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Optometry PA Optometrist CurrentSince Sep 1, 2021 Accepting new patients

Locations

242 Bath Rd
Brunswick, ME 04011
Phone (207) 389-3525

82 Maine St
Brunswick, ME 04011

407 US Route 1
Freeport, ME 04032
Phone (207) 865-2023

14 Vista Dr
Ste 200
Gorham, ME 04038

347 Main St
Ste D
Gorham, ME 04038
Phone (207) 839-2638

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1497422612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 US ROUTE 1",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 US ROUTE 1",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327023",
            "telephone_number": "207-729-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINS",
        "first_name": "MEAGAN",
        "middle_name": "BRANDY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcousins@maineoptometry.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "407 US Route 1",
            "city": "Freeport",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040327023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Freeport, ME

Sources for this page

Verify at the official NPI Registry.