Active NPI
Peter John Violette, OD
- Optometrist
- Wakefield, MA
National Provider Identifier
1003945296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3326
- Practice address
- 333 North Ave
Wakefield, MA 01880-2300 - Phone
- (781) 245-3135
- Fax
- (781) 245-4518
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3326 | MA | Primary |
Addresses
Primary practice location
333 North Ave
Wakefield, MA 01880-2300
Mailing address
333 North Ave
Suite 1
Wakefield, MA 01880-2300
Phone (781) 245-3135
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W15753 | Other | MA | BLUE CROSS AND BLUE SHIEL |
| 15158-5 | Other | MA | HARVARD PILGRIM |
| 716213 | Other | MA | TUFTS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
333 N Ave
Wakefield, MA 01880-2300
Phone (781) 245-3135
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3326 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter J. Violette O.D.,P.C. | Optometrist | Current | Accepting new patients |
Locations
333 North Ave
Wakefield, MA 01880
Phone (781) 245-3135
333 North Ave
Fl 1
Wakefield, MA 01880
Organizations & group practices 1
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.
-
- Optometrist
- Wakefield, MA
- NPI 1528219391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1003945296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 NORTH AVE",
"address_2": "SUITE 1",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018802300",
"telephone_number": "781-245-3135",
"fax_number": "781-245-4518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 NORTH AVE",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018802300",
"telephone_number": "781-245-3135",
"fax_number": "781-245-4518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIOLETTE",
"first_name": "PETER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "W15753",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "15158-5",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "716213",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.