NPIMap

Organization Active NPI

Quabbin Valley Eye Care Corporation

  • Clinic/Center
  • Palmer, MA
National Provider Identifier
1215653977
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
QUABBIN VALLEY EYE CARE CORPORATION
Doing business as
Quabbin Valley Eye Care
Practice address
1448 North Main Street
Suite 1
Palmer, MA 01069
Phone
(413) 283-2946
Fax
(413) 283-3631
NPI assigned
Oct 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Mrs. Rebecca Lynn Maurer, LICENSED DISPENSINGNPI 1548961428
Title
Principal Owner/Licensed Optician
Phone
(413) 426-3024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X
Contact Lens FitterGroup: 193200000X MULTI-SPECIALTY GROUP 156FC0801X
Optometric TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1202X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X
Clinic/Center 261Q00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

1448 North Main Street
Suite 1
Palmer, MA 01069

Mailing address

1448 North Main Street
Suite 1
Palmer, MA 01069
Phone (413) 283-2946

Other names 1

  • Quabbin Valley Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

1448 N Main St
Ste 1
Palmer, MA 01069
Phone (413) 283-2946

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1215653977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 NORTH MAIN STREET",
            "address_2": "SUITE 1",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "01069",
            "telephone_number": "413-283-2946",
            "fax_number": "413-283-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 NORTH MAIN STREET",
            "address_2": "SUITE 1",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "01069",
            "telephone_number": "413-283-2946",
            "fax_number": "413-283-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUABBIN VALLEY EYE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRINCIPAL OWNER/LICENSED OPTICIAN",
        "authorized_official_telephone_number": "413-426-3024",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICENSED DISPENSING"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quabbin Valley Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmer, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.