Individual provider Active NPI

Chantal Dolly McCarron, O.D.

  • Optometrist
  • Stoneham, MA
National Provider Identifier
1205906104
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4674 Issued in MA
Practice address
3 Woodland Rd
Suite 120
Stoneham, MA 02180-1702
Phone
(781) 979-0960
Fax
(781) 979-0618
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003638 PA
Optometrist 152W00000X 0618002841 VA
Optometrist 152W00000X 21309-875 WI
Optometrist 152W00000X OPC4074 FL
Optometrist 152W00000X 007646 NY
Optometrist 152W00000X 4674 MA Primary

Addresses

Primary practice location

3 Woodland Rd
Suite 120
Stoneham, MA 02180-1702

Mailing address

3 Woodland Rd
Suite 120
Stoneham, MA 02180-1702
Phone (781) 979-0960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090217000028 MA Practitioner - Optometry 2860557303 Reassigns benefits to 5 organizations
I20120123000458 FL Practitioner - Optometry 2860557303 Reassigns benefits to 1 organization
I20211029000915 VA Practitioner - Optometry 2860557303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Excellent VisionGroup PAC ID 9133353824, 3 clinicians

Practice addresses (Care Compare)

3 Woodland Rd
Suite 112
Stoneham, MA 02180-1710
Phone (781) 321-6463

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
98.62
Improvement activities
40
Cost
72.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4074FLMDOptometrist
21309-875WIMDOptometrist
007646NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jan 2, 2023 Accepting new patients
Reading Eye Associates, P.C. Optometrist Current Accepting new patients
Bay State Excellent Vision CurrentSince Aug 12, 2015 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Sep 8, 2021 Accepting new patients
Clear Vision Eye Center,Inc CurrentSince Jan 1, 2009 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Sep 17, 2021 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jan 2, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Sep 8, 2021 Accepting new patients
Northeast Corneal Consultants, PA Current Accepting new patients
Mark a. Latina CurrentSince Oct 1, 2013 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Sep 17, 2021 Accepting new patients
Mark a Latina LLC CurrentSince Jan 1, 2023 Accepting new patients
Gulf Coast Optometry, PA PastSince Jun 1, 2010 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

20 Pondmeadow Dr
Ste 203
Reading, MA 01867
Phone (781) 891-6377

3 Woodland Rd
Ste 112
Stoneham, MA 02180
Phone (781) 321-6463

3 Woodland Rd
Ste 120
Stoneham, MA 02180
Phone (781) 979-0960

607 North Ave
#15
Wakefield, MA 01880
Phone (781) 395-0457

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

869 John Marshall Hwy
#C
Front Royal, VA 22630
Phone (540) 635-3223

129 E Ferrell St
South Hill, VA 23970
Phone (434) 447-3220

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 100
Vienna, VA 22182

3051 Valley Ave
Ste 102
Winchester, VA 22601
Phone (540) 450-8504

14465 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 494-6184

Interoperability endpoints

  • Direct secure messaging: cmccarron1@evelc.intellechartdirect.net

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1205906104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "address_2": "SUITE 120",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801702",
            "telephone_number": "781-979-0960",
            "fax_number": "781-979-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "address_2": "SUITE 120",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801702",
            "telephone_number": "781-979-0960",
            "fax_number": "781-979-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRON",
        "first_name": "CHANTAL",
        "middle_name": "DOLLY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003638",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002841",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "21309-875",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4074",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007646",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.