Individual provider Active NPI

Jeffrey Michael Volpe, OPTICIAN

  • Optician
  • Braintree, MA
National Provider Identifier
1235839853
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
4034 Issued in MA
Practice address
20 School St W
Braintree, MA 02184-3200
Phone
(781) 843-2133
Fax
(781) 843-5819
NPI assigned
Mar 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 4034 MA Primary

Addresses

Primary practice location

20 School St W
Braintree, MA 02184-3200

Mailing address

20 School St W
Braintree, MA 02184-3200
Phone (781) 843-2133

Other identifiers 1

IdentifierTypeStateIssuer
130660001MedicaidMA

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

State licenses

LicenseStateTypeSpecialty
4034MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
King Optical Co Inc Optician CurrentSince Mar 5, 2023 Accepting new patients

Locations

20 School St
Braintree, MA 02184
Phone (781) 843-2133

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1235839853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SCHOOL ST W",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021843200",
            "telephone_number": "781-843-2133",
            "fax_number": "781-843-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SCHOOL ST W",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021843200",
            "telephone_number": "781-843-2133",
            "fax_number": "781-843-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLPE",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "4034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130660001",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.