Individual provider Active NPI

Barbara Lynne Grove, OD

  • Optometrist
  • Mashpee, MA
National Provider Identifier
1013983733
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2864 Issued in MA
Practice address
681 Falmouth Rd
Upper Level
Mashpee, MA 02649-3327
Phone
(508) 477-1802
Fax
(508) 539-3713
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2864 MA Primary

Addresses

Primary practice location

681 Falmouth Rd
Upper Level
Mashpee, MA 02649-3327

Mailing address

681 Falmouth Rd
Upper Level
Mashpee, MA 02649-3327
Phone (508) 477-1802

Other identifiers 9

IdentifierTypeStateIssuer
454369OtherMAU S FAMILY HEALTH
454369OtherMAAETNA
S012088OtherMATRICARE/CHAMPUS
6895447 001OtherMACIGNA
W15619OtherMABCBS
0352446MedicaidMA
15391OtherMAHARVARD PILGRIM
723151OtherMATUFTS
2200561OtherMAUNITED HEALTH CARE

Other names 1

  • Dr. B Lynne Grove Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2864MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mashpee Vision Care Optometrist PastSince Dec 6, 1999 Accepting new patients

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.

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": "1658361600000",
    "number": "1013983733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 FALMOUTH RD",
            "address_2": "UPPER LEVEL",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493327",
            "telephone_number": "508-477-1802",
            "fax_number": "508-539-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 FALMOUTH RD",
            "address_2": "UPPER LEVEL",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493327",
            "telephone_number": "508-477-1802",
            "fax_number": "508-539-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "BARBARA",
        "middle_name": "LYNNE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U S FAMILY HEALTH",
            "identifier": "454369",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "454369",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "S012088",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6895447 001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W15619",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0352446",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "15391",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "723151",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2200561",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B",
            "last_name": "GROVE",
            "middle_name": "LYNNE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mashpee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.