Individual provider Active NPI

Jacqueline O'Brien

  • Optometrist
  • Exeter, NH
National Provider Identifier
1801635883
Registry record updated Aug 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5703 Issued in MA
Practice address
164 Epping Rd
Exeter, NH 03833-4551
Phone
(603) 430-0211
NPI assigned
May 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 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 5703 MA Primary

Addresses

Primary practice location

164 Epping Rd
Exeter, NH 03833-4551

Mailing address

164 Epping Rd
Exeter, NH 03833-4551
Phone (603) 430-0211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241217001483 MA Practitioner - Optometry 3375070204 Reassigns benefits to 1 organization
I20250324001028 NH Practitioner - Optometry 3375070204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Harbor Eyecare Center PCGroup PAC ID 6406746080, 4 clinicians

Practice addresses (Care Compare)

164 Epping Rd
Exeter, NH 03833-4551
Phone (603) 430-0211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1208NHMDClinical Psychologist
5703MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Eyecare Center PC Optometrist CurrentSince Jan 19, 2025 Accepting new patients
New England Eye Institute Inc. Optometrist CurrentSince Oct 1, 2024 Accepting new patients

Locations

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

4199 Washington St
Roslindale, MA 02131
Phone (617) 323-4440

164 Epping Rd
Exeter, NH 03833
Phone (603) 430-0211

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755388800000",
    "number": "1801635883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 EPPING RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334551",
            "telephone_number": "603-430-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 EPPING RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334551",
            "telephone_number": "603-430-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2025-08-17",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.