Individual provider Active NPI

Jessica M. Philbrook, O.D.

  • Optometrist
  • Houlton, ME
National Provider Identifier
1992899884
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT890 Issued in ME
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

Updated by the provider on Feb 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000115 ME Practitioner - Optometry 6608950985 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Precision Eye Care PA Optometrist CurrentSince Jan 2, 2015 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.

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

Verify at the official NPI Registry.