Organization Active NPI

Vision Associates of Northampton LLC

  • Optometrist
  • Northampton, MA
National Provider Identifier
1063609147
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3727TP Issued in MA
Legal business name
VISION ASSOCIATES OF NORTHAMPTON LLC
Practice address
78 Main St
Suite 203
Northampton, MA 01060-3111
Phone
(413) 584-2121
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Dr. Alan Roger Ringenbach, ODNPI 1699767467
Title
Member
Phone
(413) 584-2121

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 3727TP MA Primary

Addresses

Primary practice location

78 Main St
Suite 203
Northampton, MA 01060-3111

Mailing address

PO Box 298
78 Main St
Northampton, MA 01061-0298
Phone (413) 584-2121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040520000145 MA Part B Supplier - Clinic/Group Practice 5193716017 Receives reassigned benefits from 1 practitioner
Practice locations: Northampton, MA

National Provider Directory

National Provider Directory

Locations

78 Main St
Ste 203
Northampton, MA 01060
Phone (413) 584-2121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1063609147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "address_2": "78 MAIN ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010610298",
            "telephone_number": "413-584-2121",
            "fax_number": "413-584-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MAIN ST",
            "address_2": "SUITE 203",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603111",
            "telephone_number": "413-584-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION ASSOCIATES OF NORTHAMPTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "RINGENBACH",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "413-584-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3727TP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.