Active NPI
Jonathan Parrelli, LDO
- Optician
- Danvers, MA
National Provider Identifier
1104592930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- MA5553
- Practice address
- 35 Elm St
Danvers, MA 01923-2835 - Phone
- (978) 777-0379
- NPI assigned
- Aug 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Fitter | 156FC0801X | MA5553 | MA | |
| Optician | 156FX1800X | MA5553 | MA | Primary |
Addresses
Primary practice location
35 Elm St
Danvers, MA 01923-2835
Mailing address
35 Elm St
Danvers, MA 01923-2835
Other practice location 1
1 Porter Sq
Cambridge, MA 02140-1431
Phone (617) 864-7005
Other practice location 2
369 Revolution Dr
Somerville, MA 02145-1553
Phone (857) 997-8307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA5553 | MA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parrelli Optical LLC | Contact Lens Fitter | Current | Accepting new patients |
Locations
369 Revolution Dr
Somerville, MA 02145
Phone (617) 331-3916
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": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1104592930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 ELM ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019232835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 ELM ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019232835",
"telephone_number": "978-777-0379"
}
],
"practiceLocations": [
{
"address_1": "1 Porter Sq",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021401431",
"country_code": "US",
"telephone_number": "617-864-7005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "369 Revolution Dr",
"address_purpose": "LOCATION",
"city": "Somerville",
"state": "MA",
"postal_code": "021451553",
"country_code": "US",
"telephone_number": "857-997-8307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARRELLI",
"first_name": "JONATHAN",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "MA",
"license": "MA5553",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "MA5553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.