Active NPI
Cataract & Laser Center West, LLC
- Ophthalmology Physician
- West Springfield, MA
National Provider Identifier
1114091501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- CATARACT & LASER CENTER WEST, LLC
- Practice address
- 171 Interstate Dr
Suite #1
West Springfield, MA 01089-5101 - Phone
- (413) 737-5500
- Fax
- (413) 732-3514
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- C Michael Duca
- Title
- Administrator
- Phone
- (413) 737-5500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary | ||
| Ambulatory Surgical Clinic/Center | 261QA1903X | AJ4C | MA |
Addresses
Primary practice location
171 Interstate Dr
Suite #1
West Springfield, MA 01089-5101
Mailing address
171 Interstate Dr
Suite #1
West Springfield, MA 01089-5101
Phone (413) 737-5500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1850288 | Medicaid | MA | |
| CAM88012 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100823000810 | MA | Part B Supplier - Ambulatory Surgical Center | 2365576642 | Practice locations: West Springfield, MA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Cataract and Laser Center West LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0913831 | Cataract & Laser Center West TLLC | Certificate of waiver | Apr 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
171 Interstate Dr
West Springfield, MA 01089
Phone (413) 732-2333
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Springfield, MA
- NPI 1154332740
-
- Ophthalmology Physician
- Springfield, MA
- NPI 1760491377
-
- Ophthalmology Physician
- Florence, MA
- NPI 1649599903
-
- Certified Registered Nurse Anesthetist
- Danvers, MA
- NPI 1578554176
-
- Certified Registered Nurse Anesthetist
- Norfolk, VA
- NPI 1093723801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451952000000",
"number": "1114091501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 INTERSTATE DR",
"address_2": "SUITE #1",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010895101",
"telephone_number": "413-737-5500",
"fax_number": "413-732-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 INTERSTATE DR",
"address_2": "SUITE #1",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010895101",
"telephone_number": "413-737-5500",
"fax_number": "413-732-3514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATARACT & LASER CENTER WEST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2016-01-05",
"status": "A",
"authorized_official_last_name": "DUCA",
"authorized_official_first_name": "C MICHAEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "413-737-5500"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MA",
"license": "AJ4C",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1850288",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "CAM88012",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.