Judy Bavongkhoun, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5176 Issued in MA

Practice address

479 Old Union Tpke
Lancaster, MA 01523-3029

Phone

(978) 537-3900

Fax

(978) 537-6030

NPI assigned

Sep 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as apm

Quality

82.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIBBCD

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.

• D'Ambrosio Eye Care, Inc.

  • Ophthalmology Physician
  • Lancaster, MA
  • NPI 1922020874

  MA, Optometrist

  Medicare reassignment NPD
• D'Ambrosio Eye Care, Inc.

  • Ophthalmology Physician
  • Worcester, MA
  • NPI 1467968149
  NPD
• D'Ambrosio Eye Care, Inc.

  • Ophthalmology Physician
  • Leominster, MA
  • NPI 1952750481
  NPD (past)

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1104374628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TPKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233029",
            "telephone_number": "978-537-3900",
            "fax_number": "978-537-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TPKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233029",
            "telephone_number": "978-537-3900",
            "fax_number": "978-537-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVONGKHOUN",
        "first_name": "JUDY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Sheedy Antonangeli, REGISTERED NURSE
• Sara Anne Apollonio, O.D.
• Hannah L Ashe, LDO
• Taylor L Aucoin, LDO
• Balance Healing Counseling PLLC
• Marie Lunie Bazile
• Christopher I. Bechara, M.D.
• Elite Bor-Shavit, MD
• Steven M Buffone
• Sean M Callinan

• All providers in Lancaster, MA
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.