Individual provider Active NPI

Jennifer Damico, OD

  • Optometrist
  • North Brookfield, MA
National Provider Identifier
1760456651
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3785 Issued in MA
Practice address
355 N Main St
North Brookfield, MA 01535
Phone
(508) 867-3755
NPI assigned
Feb 15, 2006
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3785 MA Primary

Addresses

Primary practice location

355 N Main St
North Brookfield, MA 01535

Mailing address

355 N Main St
North Brookfield, MA 01535-2008
Phone (508) 867-3755

Other identifiers 18

IdentifierTypeStateIssuer
9777385OtherMASS HEALTH UNISYS
151329OtherHARVARD PILGRIM
20798OtherCIGNA HEALTHCARE
732547OtherTUFTS ASSOC HEALTH PLAN
W21011OtherMABCBS - GROUP #
0392022OtherMASS HEALTH UNISYS
0392022MedicaidMA
200OtherULTRA BENEFITS
57106OtherTRICARE
981690OtherNETWORK HEALTH
W15940OtherBLUE CROSS BLUE SHIELD MA
2634580OtherAETNA
W15940OtherMEDICARE C&S ADMIN SVCS
2203040OtherUNITED HEALTHCARE
W21011OtherMEDICARE C&S ADMIN SVCS
2634580OtherAETNA HEALTH INC
747176OtherCONNECTICARE INC
1149190002OtherDMERC METRA HEALTH

Other names 1

  • Dr. Jennifer Damico Oconnor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20101115000374 MA Practitioner - Optometry 1254301336 Reassigns benefits to 3 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: North Brookfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1993
Medicare assignment
May accept Medicare assignment
Group practices
McPhs UniversityGroup PAC ID 2365682713, 19 clinicians

Practice addresses (Care Compare)

10 Lincoln SQ
Worcester, MA 01608-1135
Phone (508) 373-5830

605 Lincoln St
Worcester, MA 01605-1901
Phone (800) 853-2288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3785MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Sep 30, 2019 Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Sep 30, 2019 Accepting new patients
McPhs University Optometrist CurrentSince Jan 7, 2019 Accepting new patients
Eye-Konic Vision Associates, PLLC Optometrist PastSince Feb 10, 2025 Accepting new patients
Edward M. Kennedy Community Health Center, Inc Past Accepting new patients

Locations

354 Waverley St
Framingham, MA 01702
Phone (508) 270-5700

41 Cape Rd
Milford, MA 01757
Phone (508) 270-5750

10 Lincoln Sq
Worcester, MA 01608
Phone (508) 373-5607

10 Lincoln Sq
Rm 112G
Worcester, MA 01608

19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122

605 Lincoln St
Worcester, MA 01605
Phone (508) 856-0104

650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 6

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1760456651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 N MAIN ST",
            "city": "NORTH BROOKFIELD",
            "state": "MA",
            "postal_code": "015352008",
            "telephone_number": "508-867-3755",
            "fax_number": "508-519-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N MAIN ST",
            "city": "NORTH BROOKFIELD",
            "state": "MA",
            "postal_code": "01535",
            "telephone_number": "508-867-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMICO",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH UNISYS",
            "identifier": "9777385",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "151329",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "20798",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS ASSOC HEALTH PLAN",
            "identifier": "732547",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GROUP #",
            "identifier": "W21011",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH UNISYS",
            "identifier": "0392022",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392022",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ULTRA BENEFITS",
            "identifier": "200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "57106",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "981690",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "W15940",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2634580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE C&S ADMIN SVCS",
            "identifier": "W15940",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2203040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE C&S ADMIN SVCS",
            "identifier": "W21011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH INC",
            "identifier": "2634580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE INC",
            "identifier": "747176",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC METRA HEALTH",
            "identifier": "1149190002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "OCONNOR",
            "middle_name": "DAMICO",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Brookfield, MA

Sources for this page

Verify at the official NPI Registry.