Jennifer L Haverkamp, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT902 Issued in ME

Practice address

151 Main St
Westbrook, ME 04092-4808

Phone

(207) 854-1801

Fax

(207) 854-0260

NPI assigned

Sep 3, 2008

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

Southern College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care and Eye Wear Center of MaineGroup PAC ID 0446287353, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Eye Care & Eye Wear Center of Maine

  • Optometrist
  • Westbrook, ME
  • NPI 1992835961
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1902054968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924808",
            "telephone_number": "207-854-1801",
            "fax_number": "207-854-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924808",
            "telephone_number": "207-854-1801",
            "fax_number": "207-854-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERKAMP",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433071299",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie King Hardman, RN
• Chelsea Catherine Hardy, RD
• Diane M Harris, L.C.S.W
• Lillian Harris
• Kelly Rae Hatt, FNP-BC
• Brandon C Hayes, PTA, CPT, NASM
• Kristin J Hayes, LSW
• Stephen R Hayes, M.D.
• Julia A. Healey, LCPC
• Heed Residential and Community Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.