Jessica Fortin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5110 Issued in MA

Practice address

161 Jackson St
Lowell, MA 01852-2103

Phone

(978) 937-9700

Fax

(978) 221-6728

NPI assigned

Jul 18, 2015

Last updated

Jan 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Leader Former name

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

Specialty

Optometry

Education

New England College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lowell Community Health Center, Inc.Group PAC ID 6204807944, 85 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jfortin42963@direct.ctc.masshiway.net

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.

• Lowell Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lowell, MA
  • NPI 1952307530
  Medicare reassignment Care Compare group NPD
• Dothouse Health Inc.

  dba DotHouse Health

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1578514733
  Medicare reassignment NPD
• Karen Neckers OD

  • Optometrist
  • Peabody, MA
  • NPI 1689014581
  Medicare reassignment NPD
• Lowell Community Health Center, Inc.

  • Community/Retail Pharmacy
  • Lowell, MA
  • NPI 1295587368
  NPD
• Lowell Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lowell, MA
  • NPI 1689092595
  NPD

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1841674967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 JACKSON ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522103",
            "telephone_number": "978-937-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 JACKSON ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522103",
            "telephone_number": "978-937-9700",
            "fax_number": "978-221-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIN",
        "first_name": "JESSICA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-18",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LEADER",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Betsaida Foran
• Forever Care
• Amin Forkwa Inocent
• Suzanne Forsythe
• Caroline Ashley Fortin, MA
• Leah Marie Fossett
• Declan Fotoh, PMHNP
• Jessica Fournier, MD
• Beth W Fowler, LICSW
• Kyle B Fowler

• Optometrist in Lowell, MA
• Providers in Lowell, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.