Virginia Gilmore, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT869 Issued in ME

Practice address

663 Stillwater Ave
Bangor, ME 04401-3642

Phone

(207) 262-7192

NPI assigned

Aug 13, 2006

Last updated

Sep 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John C. Hersey OD, PCGroup PAC ID 5395928865, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• John C. Hersey OD, PC

  • Optometrist
  • Hermon, ME
  • NPI 1770887002
  Medicare reassignment Care Compare group NPD
• Lakeside Vision Inc

  • Optometrist
  • Prudenville, MI
  • NPI 1790789550
  NPD (past)
• Lakeside Vision, Prudenville, PC

  • Optometrist
  • Prudenville, MI
  • NPI 1003557133
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1821000258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "WINTERPORT",
            "state": "ME",
            "postal_code": "044960421",
            "telephone_number": "207-223-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013642",
            "telephone_number": "207-262-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "022304",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Gillen, MA CCC SLP
• Colleen Gilley, PMH-NP
• Callaghan Joseph Gillis, MD
• Starr Gilmartin, LCSW
• Michael Gilmore, DO
• Jeanne O Giroux, LCSW
• Lynn Gitlow, OTR, ATP
• Sarah Jayne Gladstone, O.D.
• Alison Lynn Glanville, PSYD
• Robert Craig Glaude Jr.

• Optometrist in Bangor, ME
• Providers in Bangor, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.