Individual provider Active NPI

Thomas Maher, O.D.

  • Optometrist
  • Leominster, MA
National Provider Identifier
1053332528
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4198 Issued in MA
Practice address
865 Merriam Ave
Suite 121
Leominster, MA 01453
Phone
(978) 537-6045
Fax
(978) 534-9845
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4198 MA Primary

Addresses

Primary practice location

865 Merriam Ave
Suite 121
Leominster, MA 01453

Mailing address

865 Merriam Ave
Suite 121
Leominster, MA 01453
Phone (978) 537-6045

Other identifiers 2

IdentifierTypeStateIssuer
0335321MedicaidMA
110014790AMedicaidMA

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
I20060220000234 MA Practitioner - Optometry 7315952819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longwood Eye LLCGroup PAC ID 0143632802, 16 clinicians

Practice addresses (Care Compare)

180 Daggett Dr
West Springfield, MA 01089-4667
Phone (413) 452-4111

Merit-based Incentive Payment System (MIPS)

Final score
94.01 of 100Reported as group
Quality
92.29
Improvement activities
40
Cost
73.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4198MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Longwood Eye, LLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients

Locations

354 Main St
Gardner, MA 01440
Phone (412) 774-7016

33 Riddell St
Ste 2
Greenfield, MA 01301
Phone (413) 286-2020

33 Riddell St
Greenfield, MA 01301
Phone (413) 772-0853

180 Daggett Dr
West Springfield, MA 01089
Phone (413) 286-2020

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1053332528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 MERRIAM AVE",
            "address_2": "SUITE 121",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-537-6045",
            "fax_number": "978-534-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 MERRIAM AVE",
            "address_2": "SUITE 121",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-537-6045",
            "fax_number": "978-534-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "THOMAS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0335321",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110014790A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.