Individual provider Active NPI

Graham Stetson, OD, MS

  • Optometrist
  • Norwood, MA
National Provider Identifier
1184285801
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5408 Issued in MA
Practice address
696 Washington St
Norwood, MA 02062-3546
Phone
(781) 352-4849
Fax
(781) 634-8352
NPI assigned
Jun 24, 2019
Last updated
Mar 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5408 MA Primary

Addresses

Primary practice location

696 Washington St
Norwood, MA 02062-3546

Mailing address

696 Washington St
Norwood, MA 02062-3546
Phone (781) 352-4849

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200928002432 MA Practitioner - Optometry 4789003567 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

696 Washington St
Norwood, MA 02062-3546
Phone (614) 284-3362

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5408MAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Eyes LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Jeffrey L Morrill OD PC Optometrist CurrentSince Jul 20, 2020 Accepting new patients
Aeg Massachusetts Professional PC Optometrist CurrentSince Oct 16, 2023 Accepting new patients

Locations

15 Central St
Andover, MA 01810
Phone (978) 475-5252

480 W Central St
Franklin, MA 02038
Phone (508) 528-2040

850 Chelmsford St
Lowell, MA 01851
Phone (978) 452-0127

696 Washington St
Norwood, MA 02062
Phone (614) 284-3362

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1184285801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623546",
            "telephone_number": "781-352-4849",
            "fax_number": "781-634-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623546",
            "telephone_number": "781-352-4849",
            "fax_number": "781-634-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETSON",
        "first_name": "GRAHAM",
        "credential": "OD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.