Jacqueline L Mandile, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4814 Issued in MA

Practice address

238 Northampton St
Easthampton, MA 01027-1046

Phone

(413) 529-9300

Fax

(866) 644-0870

NPI assigned

Jul 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jacqueline M Lemoine Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Medical Group PCGroup PAC ID 2365348851, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacqueline.mandile.1@55.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Medical Group, P.C.

  • Family Medicine Physician
  • Greenfield, MA
  • NPI 1912924705

  Optometrist

  Medicare reassignment Care Compare group NPD
• Valley Medical Group, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Easthampton, MA
  • NPI 1982738118
  NPD

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1235427360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 NORTHAMPTON ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271046",
            "telephone_number": "413-529-9300",
            "fax_number": "866-644-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 NORTHAMPTON ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271046",
            "telephone_number": "413-529-9300",
            "fax_number": "866-644-0870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Main St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "MA",
            "postal_code": "01062",
            "country_code": "US",
            "telephone_number": "413-586-8400",
            "fax_number": "866-644-0872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Hall Dr",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "MA",
            "postal_code": "010022751",
            "country_code": "US",
            "telephone_number": "413-256-8561",
            "fax_number": "866-644-0869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 Conway St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013011521",
            "country_code": "US",
            "telephone_number": "413-774-6301",
            "fax_number": "866-644-0871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDILE",
        "first_name": "JACQUELINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110089671A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "LEMOINE",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurel Lea Macbrian, M.ED.
• Moira Grace Mackey, MED
• Alison Mackinnon, LMHC
• Gabriel Lee Maldonado
• Kara Jean Maloney, MS, RD, LDN, CDE
• Manhan Internal Medicine PC
• Sima Mansouri, PHARMACIST
• Shoshana Marchand, PMHNP-BC
• Zachary Marciano, MS
• Donna Ann Martin, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.