Individual provider Active NPI

Rosehannah Nicole Carmichael, OD

  • Optometrist
  • Brewer, ME
National Provider Identifier
1548896368
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1026 Issued in ME
Practice address
29 Dirigo Dr
Brewer, ME 04412-1600
Phone
(207) 942-2015
NPI assigned
Mar 13, 2020
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 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 OPT1026 ME Primary

Addresses

Primary practice location

29 Dirigo Dr
Brewer, ME 04412-1600

Mailing address

29 Dirigo Dr
Brewer, ME 04412-1600
Phone (207) 942-2015

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Direct@PenobscotEyeCarePABrewerME.CompulinkDirect.com Direct
Direct Messaging Address Direct@PenobscotEyeCarePABrewerME.CompulinkDirect.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
I20200708001863 ME Practitioner - Optometry 5597188698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penobscot Eye Care PAGroup PAC ID 5597737692, 4 clinicians

Practice addresses (Care Compare)

29 Dirigo Dr
Brewer, ME 04412-1600
Phone (207) 942-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Penobscot Eye Care PA Optometrist CurrentSince Jun 15, 2020 Accepting new patients

Locations

29 Dirigo Dr
Brewer, ME 04412
Phone (207) 942-2015

Interoperability endpoints

  • Direct secure messaging: direct@penobscoteyecarepabrewerme.compulinkdirect.com

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": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1548896368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 DIRIGO DR",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121600",
            "telephone_number": "207-942-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 DIRIGO DR",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121600",
            "telephone_number": "207-942-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "ROSEHANNAH",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@PenobscotEyeCarePABrewerME.CompulinkDirect.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29 Dirigo Dr",
            "city": "Brewer",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044121600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@PenobscotEyeCarePABrewerME.CompulinkDirect.com",
            "affiliation": "N",
            "address_1": "29 Dirigo Dr",
            "city": "Brewer",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044121600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brewer, ME

Sources for this page

Verify at the official NPI Registry.