Active NPI
Lisa R Trainor, R.D.O.
- Optician
- Mendon, MA
National Provider Identifier
1174894414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 4966
- Practice address
- 69 Uxbridge Rd
Mendon, MA 01756-1017 - Phone
- (508) 634-3596
- Fax
- (508) 634-3596
- NPI assigned
- Jan 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 4966 | MA | Primary |
Addresses
Primary practice location
69 Uxbridge Rd
Mendon, MA 01756-1017
Mailing address
69 Uxbridge Rd
Mendon, MA 01756-1017
Phone (508) 634-3596
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 |
|---|---|---|---|
| 4966 | MA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anywear Optical | Optician | Past | Accepting new patients |
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.
-
- Optician
- Mendon, MA
- NPI 1073884326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1174894414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 UXBRIDGE RD",
"city": "MENDON",
"state": "MA",
"postal_code": "017561017",
"telephone_number": "508-634-3596",
"fax_number": "508-634-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 UXBRIDGE RD",
"city": "MENDON",
"state": "MA",
"postal_code": "017561017",
"telephone_number": "508-634-3596",
"fax_number": "508-634-3596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAINOR",
"first_name": "LISA",
"middle_name": "R",
"credential": "R.D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-18",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "4966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mendon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.