Individual provider Active NPI

Brittany Cousins, OD

  • Optometrist
  • Gorham, ME
National Provider Identifier
1770472128
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1102 Issued in ME
Practice address
14 Vista Dr Ste 200
Gorham, ME 04038-5884
Phone
(207) 729-8474
NPI assigned
Jul 1, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1102 ME Primary

Addresses

Primary practice location

14 Vista Dr Ste 200
Gorham, ME 04038-5884

Mailing address

14 Vista Dr Ste 200
Gorham, ME 04038-5884
Phone (207) 729-8474

Other practice location 1

40 Northeast Rd
Standish, ME 04084-6427
Phone (207) 729-8474

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
I20250825003468 ME Practitioner - Optometry 0941700868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
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)

242 Bath Rd
Brunswick, ME 04011-2646
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
OPT1102MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Optometry PA Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Arthur Chapman III OD PA Optometrist Past Accepting new patients

Locations

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

14 Vista Dr
Ste 200
Gorham, ME 04038

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

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1770472128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 VISTA DR STE 200",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040385884",
            "telephone_number": "207-729-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 VISTA DR STE 200",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040385884",
            "telephone_number": "207-729-8474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Northeast Rd",
            "address_purpose": "LOCATION",
            "city": "Standish",
            "state": "ME",
            "postal_code": "040846427",
            "country_code": "US",
            "telephone_number": "207-729-8474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUSINS",
        "first_name": "BRITTANY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorham, ME

Sources for this page

Verify at the official NPI Registry.