Individual provider Active NPI

Jeremiah Labree, OPTOMETRIST

  • Optometrist
  • Rockland, ME
National Provider Identifier
1750616140
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT908 Issued in ME
Practice address
20 Oak Street
Rockland, ME 04841-0484
Phone
(207) 594-9555
NPI assigned
Oct 2, 2009
Last updated
Oct 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT908 ME Primary

Addresses

Primary practice location

20 Oak Street
Rockland, ME 04841-0484

Mailing address

PO Box 568
Rockland, ME 04841-0484
Phone (207) 594-9555

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
I20140603000273 ME Practitioner - Optometry 4587887989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Midcoast Eye Care, LLCGroup PAC ID 6002197613, 4 clinicians

Practice addresses (Care Compare)

1100 Commercial St
Rockport, ME 04856-3801
Phone (207) 594-9555

590 Main St
Damariscotta, ME 04543-4680
Phone (207) 563-5599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT908MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hoyt Eye Care Center, LLC PastSince Sep 17, 2018 Accepting new patients

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": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1750616140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048410484",
            "telephone_number": "207-594-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OAK STREET",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048410484",
            "telephone_number": "207-594-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABREE",
        "first_name": "JEREMIAH",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

Verify at the official NPI Registry.