DR. JILL E FEDERICO (NPI# 1083080881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083080881 |
| Entity Type | Individual |
| Full Name | DR. JILL E FEDERICO |
| Credential | OD |
| Practice Address |
155 Griffin Rd Excellent Vision Portsmouth NH 03801-4125 |
| Practice Telephone | 6034305225 |
| Mailing Telephone | 6034305225 |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2016-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0931 | NH | Eye and Vision Services Providers |
| Street Address |
155 GRIFFIN RD EXCELLENT VISION |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558338749 | Northwest Corneal Consultants Pa | Ophthalmology | 155 Griffin Rd, Portsmouth, NH 03801-4125 | 2006-03-07 |
| 1740800838 | Katelyn O'connor | Registered Nurse | 155 Griffin Rd, Portsmouth, NH 03801-2093 | 2020-04-20 |
| 1336466564 | Emily Jerszyk Amarosa | Obstetrics & Gynecology | 155 Griffin Rd, Portsmouth, NH 03801-4125 | 2010-04-28 |
| 1942435086 | Saroj Andreena Fleming | Obstetrics & Gynecology | 155 Griffin Rd, Apt 404, Portsmouth, NH 03801-4125 | 2009-05-19 |
| 1699936922 | Caroline N Scoones | Obstetrics & Gynecology | 155 Griffin Rd, Portsmouth, NH 03801-4125 | 2008-06-19 |
| 1720247968 | Heidi L Keup | Obstetrics & Gynecology | 155 Griffin Rd, Portsmouth, NH 03801-4125 | 2008-06-03 |
| 1063603967 | Deeptha N. Sastry | Obstetrics & Gynecology | 155 Griffin Rd, Portsmouth, NH 03801-4125 | 2007-08-06 |
| 1922165638 | Margaret L. Hayner | Dietitian, Registered | 155 Griffin Rd, Portsmouth, NH 03801-4125 | 2007-01-02 |
| 1932131919 | Margot Kingston | Nurse Practitioner | 155 Griffin Rd, Portsmouth, NH 03801-4125 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710407325 | Monisha Rajinikanth | Optometrist | 155 Borthwick Ave # 200, Portsmouth, NH 03801-7156 | 2017-06-24 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1326430653 | Portsmouth Vision Center, LLC | Optometrist | 2460 Lafayette Rd., Portsmouth, NH 03801 | 2015-02-24 |
| 1902196694 | Eye Care, LLC | Optometrist | 110 Robin Rd, Portsmouth, RI 02871-3711 | 2011-04-14 |
| 1225199607 | Aaron Todd Kallner | Optometrist | 2002 Robinson Ave, Portsmouth, OH 45662-3650 | 2006-12-12 |
| 1871673475 | Michael W. Raies | Optometrist | 1915 Scioto Trl, Portsmouth, OH 45662-2843 | 2006-10-17 |
| 1306933536 | Aftel & Rader, Optometrists, P.l.c. | Optometrist | 5913 Portsmouth Blvd, Portsmouth, VA 23701-1445 | 2006-10-09 |
| 1548357999 | Marcy Schultenover | Optometrist | 605 Lafayette Rd, Portsmouth, NH 03801-5406 | 2006-10-06 |
| 1831291459 | Jonathan Lucas | Optometrist | 1805 Waller St, Portsmouth, OH 45662-2945 | 2006-09-03 |
| 1225066590 | Steven Wylie Binns | Optometrist | 2808 Scioto Trl, Portsmouth, OH 45662-2244 | 2006-06-28 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.