Individual provider Active NPI

Qiqi Cui, OD

  • Optometrist
  • Walpole, MA
National Provider Identifier
1104127943
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4834 Issued in MA
Practice address
550 Providence Hwy
Walpole, MA 02081-4231
Phone
(508) 668-9090
NPI assigned
Nov 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4834 MA Primary

Addresses

Primary practice location

550 Providence Hwy
Walpole, MA 02081-4231

Mailing address

6 Partridge HL
Sharon, MA 02067-1531
Phone (617) 780-2871

Other practice location 1

160 Broadway
Raynham, MA 02767-1414
Phone (508) 692-6523

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
I20110328000545 MA Practitioner - Optometry 9638352735 Reassigns benefits to 1 organization
Practice locations: Raynham, MA; Walpole, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

160 Broadway
Raynham, MA 02767-1414
Phone (508) 692-6523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4834MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
I-Care Family Vision Center, LLC Optometrist CurrentSince Nov 28, 2016 Accepting new patients

Locations

160 Broadway
Raynham, MA 02767
Phone (508) 692-6523

550 Providence Hwy
Walpole, MA 02081
Phone (508) 668-0047

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": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1104127943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARTRIDGE HL",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671531",
            "telephone_number": "617-780-2871",
            "fax_number": "508-668-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PROVIDENCE HWY",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020814231",
            "telephone_number": "508-668-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Broadway",
            "address_purpose": "LOCATION",
            "city": "Raynham",
            "state": "MA",
            "postal_code": "027671414",
            "country_code": "US",
            "telephone_number": "508-692-6523",
            "fax_number": "508-822-9053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUI",
        "first_name": "QIQI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-10",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

Verify at the official NPI Registry.