Mashpee Vision Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

2864 Issued in MA

Legal business name

MASHPEE VISION CARE

Practice address

681 Falmouth Rd
Suite B12
Mashpee, MA 02649-3327

Phone

(508) 477-1802

Fax

(508) 539-3713

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Barbara Lynne Grove, ODNPI 1013983733

Title

Owner

Phone

(508) 477-1802

Specialties & licenses 2

Addresses

Other identifiers 17

Other names 1

• B LYNNE GROVE OD Doing business as

Locations

Practitioners 1

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

• Barbara Lynne Grove, OD

  • Optometrist
  • Mashpee, MA
  • NPI 1013983733
  NPD (past) Authorized official

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1235396755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 FALMOUTH RD",
            "address_2": "UPPER LEVEL",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493327",
            "telephone_number": "508-477-1802",
            "fax_number": "508-539-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 FALMOUTH RD",
            "address_2": "SUITE B12",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493327",
            "telephone_number": "508-477-1802",
            "fax_number": "508-539-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASHPEE VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-477-1802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2864",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "12434",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0352446",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "454369",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "OP3143",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "201700019",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "2200561",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "233717",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "000001377",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "1101851567",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "1235396755",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "S012088",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "20838343610",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "723151",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "W15619",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "1699852",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "15391",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "152W00000X",
            "identifier": "6895447",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B LYNNE GROVE OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Mashpee, MA
• Providers in Mashpee, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.