Alyssa Verrill

Primary specialty

OptometristTaxonomy code 152W00000X

License

000T Issued in ME

Practice address

29 Dirigo Dr
Brewer, ME 04412-1600

Phone

(207) 942-2015

Fax

(207) 945-6528

NPI assigned

Apr 12, 2016

Last updated

Mar 11, 2020By 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 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

Pennsylvania College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Penobscot Eye Care PAGroup PAC ID 5597737692, 4 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Penobscot Eye Care PA

  • Optometrist
  • Brewer, ME
  • NPI 1073554853
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1952765356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 DIRIGO DR",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121600",
            "telephone_number": "207-942-2015",
            "fax_number": "207-945-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 DIRIGO DR",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121600",
            "telephone_number": "207-942-2015",
            "fax_number": "207-945-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRILL",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "000T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Trundy, LCSW
• Jacob Turmel, PHARMD
• Twin City Family Medicine PA
• Michael Ulrich
• United Cerebral Palsy of Northeastern Maine
• Elizabeth L Vinal, PTA
• VK Brewer, LLC (Brewer Center for Health & Rehabilitation LLC)
• David P Wade, PAC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5076)
• Wal-Mart Stores East, LP (Vision Center 30-5076)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.