NPI 1336030261 · live from the CMS NPI Registry
Jenna Goss, OD
Optometrist in Augusta, ME. National Provider Identifier 1336030261, active.
NPI record
| NPI | 1336030261 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1 Va Ctr, Augusta, ME 04330 |
| Practice phone | 207-623-8411 |
| Enumerated | July 10, 2025 |
| Last updated | February 11, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT1106 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.