Teresa Hrach, O.D.
Individual provider Active NPI Optometrist · Millis, MA
NPI 1225036734 · NPPES record last updated May 4, 2022
Key facts
- NPI
- 1225036734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3700 (MA)
- Practice address
- 840 Main St Ste 112
Millis, MA 02054-1542 - Phone
- (508) 376-2539
- Fax
- (774) 849-3276
- NPI assigned
- Jul 8, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aeg Massachusetts Professional PC
Practice addresses (Care Compare)
94 N Main St
Mansfield, MA 02048-2253
Phone (508) 339-3952
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040311000040 | MA | Practitioner - Optometry | 9830088798 |
Reassigns benefits to 1 organization Practice locations: Millis, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3700 | MA | MD | Optometrist |
Interoperability endpoints
- teresa.hrachod@uprisedirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3700 | MA | Yes |
Addresses
Primary practice location
840 Main St Ste 112
Millis, MA 02054-1542
Mailing address
106 Ware St
Mansfield, MA 02048-2944
Phone (508) 376-2539
Other practice location 1
840 Main St Ste 206
Millis, MA 02054-1548
Phone (508) 376-2539
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0370631 | Medicaid | MA |
Other providers in Millis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.