Active NPI
Mass Optometric Associates, PLLC
- Eyewear Supplier
- Brookline, MA
National Provider Identifier
1043410244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- MASS OPTOMETRIC ASSOCIATES, PLLC
- Practice address
- 1623 Beacon St
Washington Square
Brookline, MA 02445-4531 - Phone
- (617) 739-2707
- Fax
- (617) 730-4418
- NPI assigned
- Jul 25, 2007
- Last updated
- Nov 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randi Frankl
- Title
- OD/President
- Phone
- (516) 815-1646
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MA | ||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
1623 Beacon St
Washington Square
Brookline, MA 02445-4531
Mailing address
175 E Houston St
San Antonio, TX 78205-2299
Phone (800) 340-0219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070824000362 | MA | Part B Supplier - Clinic/Group Practice | 0648362442 |
Receives reassigned benefits from 94 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Westwood, MA; Billerica, MA; Wareham, MA; Shrewsbury, MA; Seekonk, MA; Saugus, MA; Quincy, MA; Plymouth, MA… |
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1043410244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 E HOUSTON ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782052299",
"telephone_number": "800-340-0219",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 BEACON ST",
"address_2": "WASHINGTON SQUARE",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024454531",
"telephone_number": "617-739-2707",
"fax_number": "617-730-4418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASS OPTOMETRIC ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "FRANKL",
"authorized_official_first_name": "RANDI",
"authorized_official_title_or_position": "OD/PRESIDENT",
"authorized_official_telephone_number": "516-815-1646"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.