Individual provider Active NPI

Debra Jane Sleight, O.D.

  • Optometrist
  • Marlboro, MA
National Provider Identifier
1043219207
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3885 Issued in MA
Practice address
103 Main St
Marlboro, MA 01752-3803
Phone
(508) 481-4900
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3885 MA Primary

Addresses

Primary practice location

103 Main St
Marlboro, MA 01752-3803

Mailing address

103 Main St
Marlboro, MA 01752-3803
Phone (508) 481-4900

Other identifiers 1

IdentifierTypeStateIssuer
0369608MedicaidMA

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
I20120608000422 MA Practitioner - Optometry 7113049065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Massachusetts Professional PCGroup PAC ID 6901282557, 44 clinicians
Vision AssociatesGroup PAC ID 7911028345, 4 clinicians

Practice addresses (Care Compare)

103 Main St
Marlborough, MA 01752-3803
Phone (508) 481-4900

15 Central St
Andover, MA 01810-3718
Phone (978) 475-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3885MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Associates Optometrist CurrentSince Jun 21, 1999 Accepting new patients

Locations

103 Main St
Marlborough, MA 01752
Phone (508) 481-4900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1043219207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MAIN ST",
            "city": "MARLBORO",
            "state": "MA",
            "postal_code": "017523803",
            "telephone_number": "508-481-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAIN ST",
            "city": "MARLBORO",
            "state": "MA",
            "postal_code": "017523803",
            "telephone_number": "508-481-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEIGHT",
        "first_name": "DEBRA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0369608",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, MA

Sources for this page

Verify at the official NPI Registry.