Individual provider

Maria Higgins, O.D.

Optometrist Medicare enrolled

Maria Higgins, O.D. is a provider specialising in Optometrist in West Chester, PA, registered under NPI 1376514018. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 422 COLLEGE AVE, West Chester, PA 19382. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

422 COLLEGE AVE, West Chester, PA 19382 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
OEG-000300 PA Optometrist primary
TA2179 MD Optometrist
OP1000396 DC Optometrist

Licences are recorded in 3 states: PA, MD, DC. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Optometry
PAC ID
0143318329

Medicare enrolment is recorded as approved under the provider type Practitioner - Optometry. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: District of Columbia, Maryland and Pennsylvania. The practice address on file is in West Chester, PA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

DC District of Columbia
Licence
OP1000396
Specialty
Optometrist
Verify with the DC board →
MD Maryland
Licence
TA2179
Specialty
Optometrist
Verify with the MD board →
PA Pennsylvania practice address
Licence
OEG-000300
Specialty
Optometrist
Verify with the PA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Optometrist covers

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. NUCC Health Care Provider Taxonomy, code 152W00000X
Eye and Vision Services Providers Optometrist

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
152W00000X Optometrist OEG-000300 PA primary
152W00000X Optometrist TA2179 MD
152W00000X Optometrist OP1000396 DC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1376514018 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 31, 2006
Last updatedJun 11, 2021
StatusActive
Sole proprietorYes
CredentialO.D.
Practice address 422 COLLEGE AVE
West Chester, PA 19382
(412) 260-4103
Other identifiers 441182871 · RAILROAD MEDICARE (PA)
The last update on file is Jun 11, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1376514018 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 7 6 5 1 4 0 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 5 6 1 1 8 0 2

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1376514018?
NPI 1376514018 is the National Provider Identifier assigned to Maria Higgins, O.D. in West Chester, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Optometrist cover?
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…
How do I contact Maria Higgins, O.D.?
The phone number on file with NPPES is (412) 260-4103, last updated Jun 11, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Maria Higgins, O.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1376514018 a valid number?
Yes. 1376514018 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.