Baltazar Eye Care, PC
Organization Active NPI Optometrist · Chicopee, MA
NPI 1073258331 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1073258331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- BALTAZAR EYE CARE, PC
- Practice address
- 113 Center St
Chicopee, MA 01013-1667 - Phone
- (413) 592-7777
- NPI assigned
- May 2, 2022
- Organization subpart
- No
Authorized official
- Name
- Amanda Baltazar Sezer, OD
- Title
- Owner
- Phone
- (413) 592-7777
Practitioners 6
-
Bobbie Jo Casey, O.D.
-
David C Momnie, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220518002464 | MA | Part B Supplier - Clinic/Group Practice | 2860879558 |
Receives reassigned benefits from 6 practitioners Practice locations: Chicopee, MA |
National Provider Directory
Locations
113 Center St
Chicopee, MA 01013
Phone (413) 592-7777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
113 Center St
Chicopee, MA 01013-1667
Mailing address
113 Center St
Chicopee, MA 01013-1667
Other names
- Chicopee Eyecare
Other providers in Chicopee, MA
- Jorge Baez
- Nihal Baiju
- Carrie Kerr Baker
- Mutiyah Baker
- Suzy-Ann N Baker
- Cynthia Banfield-Weir
- Kayla Barber
- Patrick A Barnett
- Sandra Bartoszewicz
- Daria Ruth Basiibye
All providers in Chicopee, MA · Optometrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.