Jessica Michelle Eid, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0943 Issued in NH

Practice address

10 Benning St Ste 10
West Lebanon, NH 03784

Phone

(603) 678-4759

NPI assigned

Jul 29, 2015

Last updated

Mar 12, 2019By 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

Medicare fee-for-service enrollment

Enrolled in NH

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

University of Houston - College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Dorothy L Hitchmoth PLLCGroup PAC ID 7012308935, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dororthylhitchmothpllc.jessicaeid@139118.advancedmd-direct.com

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.

• Dr. Dorothy L. Hitchmoth, PLLC

  • Optometrist
  • New London, NH
  • NPI 1417104365
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1851776108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BENNING ST STE 10",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037843402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BENNING ST STE 10",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "03784",
            "telephone_number": "603-678-4759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Benning St Ste 10",
            "address_purpose": "LOCATION",
            "city": "West Lebanon",
            "state": "NH",
            "postal_code": "03784",
            "country_code": "US",
            "telephone_number": "603-678-4759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EID",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolee Delgado
• Faith Dubois
• Timm K Dumoulin, P.T.
• Lindsey Dutton
• Cynthia Elain Edmondson, HIS
• Family Health Center, P.a.
• Bruce M Feldstein, D.D.S.
• Michael C Firnkes, RPH
• Glorie Galpin
• Catherine Grace Garand

• Optometrist in West Lebanon, NH
• Providers in West Lebanon, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.