Organization Active NPI

Ilana Orelowitz, O.D. Inc

  • Optometrist
  • Medfield, MA
National Provider Identifier
1033201330
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4221 Issued in MA
Legal business name
ILANA ORELOWITZ, O.D. INC
Practice address
67 West St
Medfield, MA 02052-1577
Phone
(508) 359-9969
Fax
(508) 359-4255
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Dr. Ilana Orelowitz, ODNPI 1669457933
Title
Doctor/Owner
Phone
(508) 837-3790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4221 MA Primary

Addresses

Primary practice location

67 West St
Medfield, MA 02052-1577

Mailing address

67 West St
Medfield, MA 02052-1577
Phone (508) 837-3790

Other identifiers 2

IdentifierTypeStateIssuer
W21096OtherMEDICARE GROUP
W20422OtherMABCBS GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080419000044 MA Part B Supplier - Clinic/Group Practice 9133207954 Receives reassigned benefits from 1 practitioner
Practice locations: Medfield, MA

National Provider Directory

National Provider Directory

Locations

67 West St
Medfield, MA 02052
Phone (508) 359-2025

89 Main St
Ste 106
Medway, MA 02053
Phone (508) 533-8590

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1033201330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WEST ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521577",
            "telephone_number": "508-837-3790",
            "fax_number": "508-359-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WEST ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521577",
            "telephone_number": "508-359-9969",
            "fax_number": "508-359-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILANA ORELOWITZ, O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "ORELOWITZ",
        "authorized_official_first_name": "ILANA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "508-837-3790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "W21096",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "W20422",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.