Active NPI
Jessica M. Philbrook, O.D.
- Optometrist
- Houlton, ME
National Provider Identifier
1992899884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT890
- Practice address
- 29 Military St Ste B
Houlton, ME 04730-1713 - Phone
- (207) 521-5233
- Fax
- (207) 512-4501
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 | OPT890 | ME | Primary |
Addresses
Primary practice location
29 Military St Ste B
Houlton, ME 04730-1713
Mailing address
29 Military St Ste B
Houlton, ME 04730-1713
Phone (207) 521-5233
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
29 Military St
B
Houlton, ME 04730-1713
Phone (207) 521-5233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Eye Care PA | Optometrist | Current | Accepting new patients |
| Mexico Eye Center, L.L.C. | Optometrist | Past | Accepting new patients |
Locations
29 Military St
#B
Houlton, ME 04730
Phone (207) 521-5233
29 Military St
Ste B
Houlton, ME 04730
Phone (207) 521-5233
Organizations & group practices 2
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.
-
- Optometrist
- Houlton, ME
- NPI 1518363522
-
- Durable Medical Equipment & Medical Supplies
- Mexico, MO
- NPI 1588711725
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1992899884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 MILITARY ST STE B",
"city": "HOULTON",
"state": "ME",
"postal_code": "047301713",
"telephone_number": "207-521-5233",
"fax_number": "207-512-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 MILITARY ST STE B",
"city": "HOULTON",
"state": "ME",
"postal_code": "047301713",
"telephone_number": "207-521-5233",
"fax_number": "207-512-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILBROOK",
"first_name": "JESSICA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2021-02-16",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "OPT890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houlton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.