Jennifer Grace, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5192 Issued in MA

Practice address

45 Depot St Unit 45C
Duxbury, MA 02332-4431

Phone

(339) 217-2985

Fax

(339) 217-2986

NPI assigned

Oct 26, 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

Other identifiers 2

Other names 1

• Jennifer Pham Former name

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

Specialty

Optometry

Education

New England College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Duxbury Eye Care, LLC

  • Optometrist
  • Duxbury, MA
  • NPI 1689244295
  Medicare reassignment NPD Authorized official
• Duxbury Vision PC

  • Optometrist
  • Duxbury, MA
  • NPI 1811738453
  NPD (past)

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1154873008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DEPOT ST UNIT 45C",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324431",
            "telephone_number": "339-217-2985",
            "fax_number": "339-217-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DEPOT ST UNIT 45C",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324431",
            "telephone_number": "339-217-2985",
            "fax_number": "339-217-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120161202000158",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154873008",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PHAM",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas J Gill, M.D.
• Amanda Goff, MT-BC
• Debra Goldenberg, LICSW
• Marie Gooding, LCSW
• Emily Goodman-Simeone, LMSW
• Alyssa Graye
• Robert C Greenblatt, R.PH
• Emily Rose Greene, PHARMD
• Melissa Guzek, BCBA
• Katy Hamilton, LMHC

• Optometrist in Duxbury, MA
• Providers in Duxbury, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.