Active NPI
Brenda L Mulvehill, O.D.
- Optometrist
- Northborough, MA
National Provider Identifier
1235336850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3318
- Practice address
- 200 Otis St
Northborough, MA 01532-2442 - Phone
- (508) 393-3155
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- 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 | 3318 | MA | Primary |
Addresses
Primary practice location
200 Otis St
Northborough, MA 01532-2442
Mailing address
70 Powers Rd
Sudbury, MA 01776-1028
Phone (978) 443-4193
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235336850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 POWERS RD",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017761028",
"telephone_number": "978-443-4193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OTIS ST",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015322442",
"telephone_number": "508-393-3155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULVEHILL",
"first_name": "BRENDA",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.