Individual provider Active NPI

Michaela Temple, OD

  • Optometrist
  • Westwood, MA
National Provider Identifier
1205408291
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5519 Issued in MA
Practice address
738 High St
Westwood, MA 02090-2503
Phone
(781) 329-5454
Fax
(781) 329-7813
NPI assigned
Jul 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00722 RI
Optometrist 152W00000X 5519 MA Primary

Addresses

Primary practice location

738 High St
Westwood, MA 02090-2503

Mailing address

738 High St
Westwood, MA 02090-2503
Phone (781) 329-5454

Other practice location 1

940 Belmont Street
Building 3 Floor 3
Brockton, MA 02301
Phone (508) 583-4500 ext. 61106

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
I20220823000426 MA Practitioner - Optometry 0446633598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premium Eye Care, PCGroup PAC ID 4880771229, 2 clinicians

Practice addresses (Care Compare)

738 High St
Westwood, MA 02090-2503
Phone (781) 329-5454

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5519MAMDMental Health Counselor
ODTG00722RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Eye Care, PC Optometrist CurrentSince Jul 1, 2022 Accepting new patients

Locations

738 High St
Westwood, MA 02090
Phone (781) 329-5454

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.

NPI Registry JSON

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1205408291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 HIGH ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902503",
            "telephone_number": "781-329-5454",
            "fax_number": "781-329-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 HIGH ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902503",
            "telephone_number": "781-329-5454",
            "fax_number": "781-329-7813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Belmont Street",
            "address_2": "Building 3 Floor 3",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "02301",
            "country_code": "US",
            "telephone_number": "508-583-4500 x61106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "MICHAELA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-11",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00722",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

Verify at the official NPI Registry.