Individual provider Active NPI

Mark P Dacey, M.D.

  • Ophthalmology Physician
  • East Weymouth, MA
National Provider Identifier
1184613192
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
79168 Issued in MA
Practice address
97 Libbey Industrial Pkwy Ste 100
East Weymouth, MA 02189-3110
Phone
(781) 331-3300
Fax
(781) 337-8356
NPI assigned
Oct 21, 2005
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 79168 MA Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 79168 MA

Addresses

Primary practice location

97 Libbey Industrial Pkwy Ste 100
East Weymouth, MA 02189-3110

Mailing address

97 Libbey Industrial Pkwy Ste 100
East Weymouth, MA 02189-3110
Phone (781) 331-3300

Other practice location 1

1900 Crown Colony Dr Ste 301
Quincy, MA 02169-0979
Phone (617) 770-4400

Other identifiers 1

IdentifierTypeStateIssuer
110054268AMedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dacey.Mark.OCB@direct.partners.masshiway.net Health Information Exchange (HIE)

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000690 MA Practitioner - Ophthalmology 4880626563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

146 Industrial Park Rd
Plymouth, MA 02360-7243
Phone (508) 833-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
79168MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Boston, Inc. Ophthalmology Current Accepting new patients
Ophthalmic Consultants of Boston, Inc Ophthalmology CurrentSince May 1, 2021 Accepting new patients
Ophthalmic Consultants of Boston, Inc. Ophthalmology CurrentSince May 1, 2021 Accepting new patients
The General Hospital Corporation Past Accepting new patients

Locations

50 Staniford St
Ste 600
Boston, MA 02114
Phone (617) 367-4800

146 Church St
Pembroke, MA 02359
Phone (781) 826-2306

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

1900 Crown Colony Dr
Ste 301
Quincy, MA 02169
Phone (617) 472-5242

282 Route 130
Sandwich, MA 02563
Phone (508) 427-3720

23A Whites Path
South Yarmouth, MA 02664
Phone (508) 398-6131

97 Libbey Industrial Pkwy
Ste 100
Weymouth, MA 02189
Phone (781) 331-3300

Interoperability endpoints

  • Direct secure messaging: dacey.mark.ocb@direct.partners.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1184613192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 LIBBEY INDUSTRIAL PKWY STE 100",
            "city": "EAST WEYMOUTH",
            "state": "MA",
            "postal_code": "021893110",
            "telephone_number": "781-331-3300",
            "fax_number": "781-337-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 LIBBEY INDUSTRIAL PKWY STE 100",
            "city": "EAST WEYMOUTH",
            "state": "MA",
            "postal_code": "021893110",
            "telephone_number": "781-331-3300",
            "fax_number": "781-337-8356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Crown Colony Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021690979",
            "country_code": "US",
            "telephone_number": "617-770-4400",
            "fax_number": "617-471-5093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACEY",
        "first_name": "MARK",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "79168",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MA",
            "license": "79168",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110054268A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dacey.Mark.OCB@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1900 Crown Colony Dr",
            "address_2": "Suite 301",
            "city": "Quincy",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021690931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Weymouth, MA

Sources for this page

Verify at the official NPI Registry.