Individual provider Active NPI

David Paul Mignault, OD

  • Optometrist
  • Saugus, MA
National Provider Identifier
1063576809
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3689 Issued in MA
Practice address
335 Main St
Saugus, MA 01906
Phone
(928) 857-6320
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 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 3689 MA Primary

Addresses

Primary practice location

335 Main St
Saugus, MA 01906

Mailing address

335 Main St
Saugus, MA 01906-3143
Phone (781) 233-9570

Other identifiers 1

IdentifierTypeStateIssuer
0392332MedicaidMA

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
I20070523000280 MA Practitioner - Optometry 2466559653 Reassigns benefits to 1 organization
Practice locations: Saugus, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Vision Works IncGroup PAC ID 7517063050, 2 clinicians

Practice addresses (Care Compare)

335 Main St
Saugus, MA 01906-3143
Phone (781) 233-9570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3689MAMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Vision Works Inc Optometrist CurrentSince Mar 1, 2007 Accepting new patients

Locations

335 Main St
Saugus, MA 01906
Phone (781) 233-9570

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1063576809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAIN ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063143",
            "telephone_number": "781-233-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 MAIN ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "01906",
            "telephone_number": "928-857-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGNAULT",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392332",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

Verify at the official NPI Registry.