Individual provider Active NPI

Aileen Maria, OD

  • Optometrist
  • Lawrence, MA
National Provider Identifier
1083697353
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4319 Issued in MA
Practice address
360 Merrimack St
BLDG 9
Lawrence, MA 01843-1740
Phone
(978) 688-6182
Fax
(978) 689-0731
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4319 MA Primary
Optometrist 152W00000X 0743 NH

Addresses

Primary practice location

360 Merrimack St
BLDG 9
Lawrence, MA 01843-1740

Mailing address

360 Merrimack St
BLDG 9
Lawrence, MA 01843-1740
Phone (978) 688-6182

Other identifiers 2

IdentifierTypeStateIssuer
0337081MedicaidMA
30352264MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060130000146 NH Practitioner - Optometry 7113931197 Reassigns benefits to 1 organization
I20090205000349 MA Practitioner - Optometry 7113931197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallman Eye Associates PCGroup PAC ID 3577501063, 15 clinicians

Practice addresses (Care Compare)

29 Stiles Rd
Suite 101
Salem, NH 03079-5802
Phone (603) 893-7400

360 Merrimack St
Suite 9
Lawrence, MA 01843-1764
Phone (978) 688-6182

Merit-based Incentive Payment System (MIPS)

Final score
89.86 of 100Reported as group
Quality
86.06
Promoting interoperability
100
Improvement activities
40
Cost
76.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4319MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tallman Eye Associates, PC Optometrist CurrentSince Sep 1, 2002 Accepting new patients
Tallman Eye Whittier Past Accepting new patients
Tallman Eye Bidco Past Accepting new patients

Locations

62 Brown St
Haverhill, MA 01830
Phone (978) 521-6555

360 Merrimack St
Ste 9
Lawrence, MA 01843
Phone (978) 552-4000

21 Highland Ave
Ste 1
Newburyport, MA 01950
Phone (978) 462-8751

451 Andover St
North Andover, MA 01845
Phone (978) 687-1313

451 Andover St
Ste G7
North Andover, MA 01845

29 Stiles Rd
Salem, NH 03079
Phone (603) 890-1700

29 Stiles Rd
Ste 101
Salem, NH 03079
Phone (603) 893-7400

32 Stiles Rd
Salem, NH 03079
Phone (603) 386-0100

Interoperability endpoints

  • Direct secure messaging: am@tea.ecldirect.net

Organizations & group practices 3

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1083697353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "BLDG 9",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431740",
            "telephone_number": "978-688-6182",
            "fax_number": "978-689-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "BLDG 9",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431740",
            "telephone_number": "978-688-6182",
            "fax_number": "978-689-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIA",
        "first_name": "AILEEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4319",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0743",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0337081",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30352264",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.