Active NPI
Frederick Edward Woll, OD
- Optometrist
- Attleboro, MA
National Provider Identifier
1215007349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MA2208
- Practice address
- 150 Pleasant St
Attleboro, MA 02703-0016 - Phone
- (508) 222-4554
- Fax
- (508) 222-4555
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | MA2208 | MA | Primary |
Addresses
Primary practice location
150 Pleasant St
Attleboro, MA 02703-0016
Mailing address
PO Box 956
150 Pleasant St
Attleboro, MA 02703-0016
Phone (508) 222-4554
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152029 | Other | HARVARD PILGRIM HEALTH CA | |
| 000000078745 | Other | HEALTH NET PLAN | |
| 755063 | Other | MA | TUFTS |
| MA2208 | Other | EYE MED | |
| 0000028745 | Other | MA | HEALTH NET |
| 2210162 | Other | UNITED HEALTHCARE | |
| 0022158 | Other | NEIGHBORHOOD HEALTH PLAN | |
| W0W15701 | Other | MA | BCBS |
| 0318086 | Medicaid | MA | |
| 28954 | Other | SPECTERA VISION | |
| 30456 | Other | DAVIS VISION | |
| W15701 | Other | MA | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA2208 | MA | MD | Optometrist |
| 2208 | MA | MD | Occupational Therapist |
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": "1206403200000",
"number": "1215007349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 956",
"address_2": "150 PLEASANT ST",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027030016",
"telephone_number": "508-222-4554",
"fax_number": "508-222-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PLEASANT ST",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027030016",
"telephone_number": "508-222-4554",
"fax_number": "508-222-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLL",
"first_name": "FREDERICK",
"middle_name": "EDWARD",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "MA2208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "152029",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET PLAN",
"identifier": "000000078745",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "755063",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED",
"identifier": "MA2208",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0000028745",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2210162",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0022158",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W0W15701",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0318086",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA VISION",
"identifier": "28954",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "30456",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W15701",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.