Active NPI
John Patrick Higinbotham, OD
- Optometrist
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1174
- Practice address
- 1202 E Patrick St Ste 4
Frederick, MD 21701-3167 - Phone
- (301) 663-8858
- Fax
- (301) 663-8871
- NPI assigned
- Dec 20, 2006
- Last updated
- Feb 20, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1174 | MD | Primary |
Addresses
Primary practice location
1202 E Patrick St Ste 4
Frederick, MD 21701-3167
Mailing address
1202 E Patrick St Ste 4
Frederick, MD 21701-3167
Phone (301) 663-8858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1202 E Patrick St
Suite 4
Frederick, MD 21701-3167
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA1174 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fredericktowne Eye Care John Higinbotham OD PA | Optometrist | Current | Accepting new patients |
| Linganore Medical Practice, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1202 E Patrick St
Ste 4
Frederick, MD 21701
Phone (240) 422-3971
467 W Patrick St
Frederick, MD 21701
Phone (301) 663-8858
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Frederick, MD
- NPI 1386809945
Optometrist
-
- Family Nurse Practitioner
- Frederick, MD
- NPI 1437753001
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1952465528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 E PATRICK ST STE 4",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217013167",
"telephone_number": "301-663-8858",
"fax_number": "301-663-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 E PATRICK ST STE 4",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217013167",
"telephone_number": "301-663-8858",
"fax_number": "301-663-8871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGINBOTHAM",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.