Neill S Cowles, O.D.

Individual provider Active NPI Optometrist · Chatham, MA

NPI 1033124607 · NPPES record last updated Nov 2, 2007

Key facts

NPI
1033124607
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
2185 (MA)
Practice address
259 Crowell Rd
Chatham, MA 02633-1969
Phone
(508) 945-2552
Fax
(508) 945-0533
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Optometry
Education
New England College of Optometry, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

259 Crowell Rd
Chatham, MA 02633-1969
Phone (508) 945-2552

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070925000242 MA Practitioner - Optometry 1850485657 Practice locations: Chatham, MA

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2185 MA Yes

Addresses

Primary practice location

259 Crowell Rd
Chatham, MA 02633-1969

Mailing address

259 Crowell Rd
Chatham, MA 02633-1969
Phone (508) 945-2552

Other identifiers

IdentifierTypeStateIssuer
702411OtherTUFTS MEDICARE PREFERRED
151469OtherHARVARD PILGRIM HEALTH CA
540909092OtherRAILROAD MEDICARE
0303704MedicaidMA
2200461OtherUNITED HEALTHCARE
W15481OtherMABLUE CROSS BLUE SHIELD

Other providers in Chatham, MA

All providers in Chatham, MA · Optometrist in Massachusetts

Sources for this page

Verify at the official NPI Registry.