Individual provider Active NPI

Patricia Beth Vantosh, OD

  • Optometrist
  • Duxbury, MA
National Provider Identifier
1245331776
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2769 Issued in MA
Practice address
27 Railroad Ave
Ste 1
Duxbury, MA 02332
Phone
(781) 934-6945
Fax
(781) 934-1351
NPI assigned
Sep 26, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2769 MA Primary

Addresses

Primary practice location

27 Railroad Ave
Ste 1
Duxbury, MA 02332

Mailing address

PO Box 2030
Duxbury, MA 02331
Phone (781) 934-6945

Other identifiers 8

IdentifierTypeStateIssuer
0346691MedicaidMA
454743OtherUS HEALTH
15298OtherMAHARVARD PILGRIM
732768OtherTUFTS SECURE HORIZONS
0428OtherUNITED HEALTH CARE
PA208158OtherCIGNA
6711OtherUNITED HEALTH CARE
W15589OtherMABLUE CROSS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120606000564 MA Practitioner - Optometry 4880873348 Reassigns benefits to 1 organization
Practice locations: Duxbury, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2769MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Van Tosh O.D Optometrist CurrentSince Sep 5, 2024 Accepting new patients
Duxbury Vision PC Optometrist CurrentSince Sep 5, 2024 Accepting new patients
Bay Eye Center PC Optometrist PastSince Oct 14, 2004 Accepting new patients

Locations

27 Railroad Ave
Ste 1
Duxbury, MA 02332
Phone (617) 934-6945

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1245331776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2030",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "02331",
            "telephone_number": "781-934-6945",
            "fax_number": "781-934-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 RAILROAD AVE",
            "address_2": "STE 1",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "02332",
            "telephone_number": "781-934-6945",
            "fax_number": "781-934-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTOSH",
        "first_name": "PATRICIA",
        "middle_name": "BETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346691",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTH",
            "identifier": "454743",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "15298",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS SECURE HORIZONS",
            "identifier": "732768",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0428",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PA208158",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6711",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "W15589",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

Verify at the official NPI Registry.