Individual provider Active NPI

Nicole Frances Cerio, O.D.

  • Optometrist
  • Worcester, MA
National Provider Identifier
1013391408
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5105 Issued in MA
Practice address
335 Park Ave
Worcester, MA 01610-1000
Phone
(508) 754-8872
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5105 MA Primary

Addresses

Primary practice location

335 Park Ave
Worcester, MA 01610-1000

Mailing address

335 Park Ave
Worcester, MA 01610-1000
Phone (508) 754-8872

Other names 1

  • Dr. Nicole Frances Horn Former name

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
I20150826000096 MA Practitioner - Optometry 2264748961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Care IncGroup PAC ID 3779654876, 5 clinicians

Practice addresses (Care Compare)

335 Park Ave
Worcester, MA 01610-1000
Phone (508) 753-5103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5105MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care, Inc. Optometrist CurrentSince Aug 3, 2015 Accepting new patients
Family Eye Care, Inc. Optometrist PastSince Aug 3, 2015 Accepting new patients

Locations

177 Main St
Spencer, MA 01562
Phone (508) 885-2219

335 Park Ave
Ste 5
Worcester, MA 01610

Organizations & group practices 2

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1013391408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 PARK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101000",
            "telephone_number": "508-754-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 PARK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101000",
            "telephone_number": "508-754-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERIO",
        "first_name": "NICOLE",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HORN",
            "middle_name": "FRANCES",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.