Angela Imperioli, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3797 Issued in MA

Practice address

385 Southbridge St
Auburn, MA 01501-2498

Phone

(508) 721-9701

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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.

• McPhs University

  • General Practice Physician
  • Worcester, MA
  • NPI 1871852566

  MA, Optometrist

  Medicare reassignment Care Compare group NPD
• Leominster Family Eyecare PLLC

  • Optometrist
  • Leominster, MA
  • NPI 1891342457
  NPD (past)

Specialty

Optometry

Education

New England College of Optometry, 1993

Medicare assignment

May accept Medicare assignment

Group practices

McPhs University 19 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164544847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GREYSTONE DR",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201200",
            "telephone_number": "508-829-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 SOUTHBRIDGE ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012498",
            "telephone_number": "508-721-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMPERIOLI",
        "first_name": "ANGELA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LICENSE NUMBER",
            "identifier": "3797",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dallas Huff, DMD
• Willard John Huton, BCBA, LABA, LMHC
• Winthrop Huyghue, LPN
• Alexia Ikonya
• Nneka Iloba, NP
• Justine Caron Isakson, LMHC
• Sara J Jacobson, M.D.
• Jessica Bove Jamison, LMHC
• Thomas E Jaquith-Houston, M.D.
• Jasmin Henville DMD PC

• All providers in Auburn, MA
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.