Individual provider Active NPI

Alan Leavitt, O.D.

  • Optometrist
  • Mashpee, MA
National Provider Identifier
1003882879
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3355 Issued in MA
Practice address
9 Market St. Mashpee Commons
Mashpee, MA 02649
Phone
(508) 477-7423
Fax
(508) 477-0584
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3355 MA Primary

Addresses

Primary practice location

9 Market St. Mashpee Commons
Mashpee, MA 02649

Mailing address

9 Market St. Mashpee Commons
PO Box 1410
Mashpee, MA 02649
Phone (508) 477-7423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000650 MA Practitioner - Optometry 3577697796 Reassigns benefits to 1 organization
Practice locations: West Yarmouth, MA; South Yarmouth, MA; South Dennis, MA; Hyannis, MA; Chatham, MA; Brewster, MA; Marstons Mills, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 Market St
Mashpee, MA 02649-3282
Phone (508) 477-7423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3355MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
L&D Eye Associates Optometrist CurrentSince Feb 15, 1991 Accepting new patients
North Country Associates, Inc. Past Accepting new patients
Hyannis Family Medical Care P.C. Past Accepting new patients
Fraser Rest Home of Hyannis Past Accepting new patients

Locations

9 Market St
Mashpee, MA 02649
Phone (508) 477-7423

Interoperability endpoints

  • Direct secure messaging: alan.leavitt@direct.revolutionehr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1003882879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MARKET ST. MASHPEE COMMONS",
            "address_2": "PO BOX 1410",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "02649",
            "telephone_number": "508-477-7423",
            "fax_number": "508-477-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MARKET ST. MASHPEE COMMONS",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "02649",
            "telephone_number": "508-477-7423",
            "fax_number": "508-477-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.