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DR. JESSICA LICAUSI O.D.
NPI 1326326224
Optometrist in Riverhead, NY

Active since July 26, 2011PECOS EnrolledAccepts Medicare Assignment
25 CRANBERRY ST STE A, RIVERHEAD, NY 11901(631) 740-9384 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2019, Mar 16, 2017 (2 updates tracked since 2017).

About Dr. Jessica Licausi O.d. NPPES

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

DR. JESSICA LICAUSI O.D. (NPI 1326326224) is an individual optometrist in Riverhead, New York, licensed in New York (TUV007703-1) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Northport, and is a graduate of State University Of New York - State College Optometry (2011).

NPPES Registry Identity

NPI1326326224
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JESSICA LICAUSICredential: O.D.
Location Address25 CRANBERRY ST STE ARiverhead, NY 11901-2762
Mailing Address25 Cranberry St, Suite ARiverhead, NY 11901-2762 · (631) 740-9384
Phone(631) 740-9384
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2011
Enumeration DateJuly 26, 2011
Last NPPES UpdateAugust 28, 20192 updates tracked since enumeration
✔ NPI 1326326224 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 NY · TUV007703-1
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.
25 CRANBERRY ST STE A, Riverhead, NY 11901
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Other Names 1

Former Name (1)Dr. Jessica Fulmer O.d.

Secondary Practice Location 1

Location 179 Middleville Rd, Optometry 123Northport, NY 11768-2200 · Phone (631) 261-4400 ext. 2038

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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. Jessica Licausi 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 ID7517120207
PECOS Enrollment IDI20120516000284
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 6

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.

Eye training exercise performed by health care professional 92065
Eye training exercises help improve vision and eye health. These exercises can strengthen eye muscles, enhance coordination, and train the brain to use eyes more effectively. They may involve focusing on different distances, moving the eyes in various directions, or covering one eye at a time.
68 services20 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
56 services26 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
25 services20 patients
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.
23 services23 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
15 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Jessica Licausi's NPI number?

The NPI number for Jessica Licausi is 1326326224. It was assigned to this individual provider in the NPPES registry on July 26, 2011. The provider is also known as Dr. Jessica Fulmer O.D..

Where is Jessica Licausi located?

Jessica Licausi practices at 25 Cranberry St Ste A, Riverhead, NY 11901. The listed phone number is (631) 740-9384.

What is Jessica Licausi's specialty?

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

Is Jessica Licausi enrolled in Medicare?

Yes. Jessica Licausi 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 Jessica Licausi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jessica Licausi 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 Jessica Licausi was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.