Organization Active NPI

Pleasant View Vision Care

  • Optometrist
  • Longmeadow, MA
National Provider Identifier
1265252902
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PLEASANT VIEW VISION CARE
Practice address
809 Williams St
Longmeadow, MA 01106-2060
Phone
(413) 567-6450
Fax
(413) 754-6723
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Angela Theresa Kowal
Title
Credential Coordinator
Phone
(413) 323-6231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

809 Williams St
Longmeadow, MA 01106-2060

Mailing address

PO Box 60834
Longmeadow, MA 01116-0834
Phone (413) 323-6231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241107000139 MA Part B Supplier - Clinic/Group Practice 1052845518 Receives reassigned benefits from 1 practitioner
Practice locations: Longmeadow, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1265252902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60834",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011160834",
            "telephone_number": "413-323-6231",
            "fax_number": "413-754-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 WILLIAMS ST",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062060",
            "telephone_number": "413-567-6450",
            "fax_number": "413-754-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VIEW VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "KOWAL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "CREDENTIAL COORDINATOR",
        "authorized_official_telephone_number": "413-323-6231"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.