DR. JOSEPH PHILIP O'BRIEN O.D.
NPI 1285637249
Optometrist in South Burlington, VT

Q: What is Joseph O'brien's NPI number?

The NPI number for Joseph O'brien is 1285637249. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Joseph O'brien's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph O'brien was last updated on March 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment

100 DORSET ST, STE # 25, SOUTH BURLINGTON, VT 05403(802) 863-3000(802) 863-3001 Get Directions Write a Review

NPPES record last updated: March 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Joseph Philip O'brien O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSEPH PHILIP O'BRIEN O.D. (NPI 1285637249) is an individual optometrist in South Burlington, Vermont, licensed in Vermont (328) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2003).

NPPES Registry Identity

NPI1285637249

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JOSEPH PHILIP O'BRIENCredential: O.D.

Location Address100 DORSET ST, STE # 25South Burlington, VT 05403-6241

Mailing Address100 Dorset St, Ste # 25South Burlington, VT 05403-6241 · (802) 863-3000 · Fax (802) 863-3001

Phone(802) 863-3000

Fax(802) 863-3001

Sole ProprietorNo

Medical School CMSNew England College Of OptometryGraduated 2003

Enumeration DateMay 24, 2005

Last NPPES UpdateMarch 4, 2010

✔ NPI 1285637249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in VT · 328

Definition

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.

100 DORSET ST, South Burlington, VT 05403

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Other Identifiers 7

Other4125443VT · Mvp Healthcare

Other68019VT · Blue Cross/blue Shield Vt

OtherP00179942VT · Railroad Medicare

MedicaidOVN3351VT

Medicare ID-Type UnspecifiedVN3608VT

Medicare UPINU98620VT

Other3733570VT · Cigna Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph Philip O'brien O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951395276

PECOS Enrollment IDI20040412000145

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

50 services50 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.80 – $168.48

Typical copayment $31.92 (range $13.95 – $42.12)

Most-billed visit code 99204

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VINCENT J DEVITA O.D.

Optometrist

100 DORSET ST, SUITE 25
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 863-3000

EYE VERMONT LLC

Optometrist

100 DORSET ST, SUITE 25
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 863-3000

DR. MATTHEW J RUSHFORD D.C.

Chiropractor

100 DORSET ST, SUITE 21
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 860-3336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph O'brien's NPI number?

The NPI number for Joseph O'brien is 1285637249. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Joseph O'brien located?

Joseph O'brien practices at 100 Dorset St Ste # 25, South Burlington, VT 05403. The listed phone number is (802) 863-3000.

What is Joseph O'brien's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Joseph O'brien enrolled in Medicare?

Yes. Joseph O'brien is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph O'brien accept?

Health plans from Anthem Blue Cross and Blue Shield list Joseph O'brien as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph O'brien was last updated on March 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.