Myeyedr Optometry of Massachusetts P C
Organization Active NPI Optometrist · Amherst, MA
NPI 1124534946 · NPPES record last updated May 25, 2022
Key facts
- NPI
- 1124534946
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MYEYEDR OPTOMETRY OF MASSACHUSETTS P C
- Practice address
- 22 University Dr
Amherst, MA 01002-2243 - Phone
- (413) 549-9400
- Fax
- (413) 549-0222
- NPI assigned
- Dec 15, 2017
- Organization subpart
- No
Authorized official
- Name
- Sue Healey
- Title
- Secretary
- Phone
- (703) 847-8899
Other NPIs on the same Medicare enrollment 22
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 22
Practitioners 114
-
Kelly Ann Bado, O.D.
-
Kathleen M Barr, O.D.
-
Shagufta Bi Bi, OD
-
Derek Feifke, O.D.
-
Curtis Russell Frank, O.D.
-
Veenu Gill, O.D.
-
Josephine Ko, OD
-
Maria Mercuri, O.D.
-
Evanshi Patel, OD
-
Sandra M Payton, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180207001047 | MA | Part B Supplier - Clinic/Group Practice | 1951661297 |
Receives reassigned benefits from 111 practitioners 22 other NPIs on this enrollment Practice locations: Newton, MA; North Andover, MA; Northampton, MA; Quincy, MA; Randolph, MA; Springfield, MA; Sturbridge, MA; Topsfield, MA… |
National Provider Directory
- Tax ID family
- Myeyedr Optometry of Massachusetts P C
Locations
11 Harvard St
Ste 707
Brookline, MA 02445
Phone (617) 739-4141
1191 Chestnut St
Ste 707
Newton, MA 02464
Phone (617) 243-3937
1191 Chestnut St
Newton Upper Falls, MA 02464
Phone (617) 243-3937
131 Turnpike St
North Andover, MA 01845
Phone (970) 948-4218
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
22 University Dr
Amherst, MA 01002-2243
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names
- MyEyeDr.
Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.