Active NPI
Ioanis Panagiotopoulos, O.D.
- Optometrist
- Lawrence, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4665
- Practice address
- 360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01843-1740 - Phone
- (978) 688-6182
- Fax
- (978) 689-0731
- NPI assigned
- Feb 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 813 | NH | |
| Optometrist | 152W00000X | 4665 | MA | Primary |
Addresses
Primary practice location
360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01843-1740
Mailing address
360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01843-1740
Phone (978) 688-6182
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110078437A | Medicaid | MA | |
| 3091085 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080321000065 | MA | Practitioner - Optometry | 9638255375 | Reassigns benefits to 2 organizations |
| I20080730000145 | NH | Practitioner - Optometry | 9638255375 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4665 | MA | MD | Optometrist |
| 813 | NH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallman Eye Associates, PC | Optometrist | Current | Accepting new patients |
| Swift Optometry Care PC | Optometrist | Current | Accepting new patients |
Locations
111 Headwaters Dr
Harwich, MA 02645
Phone (508) 430-1717
360 Merrimack St
Ste 9
Lawrence, MA 01843
Phone (978) 552-4000
451 Andover St
North Andover, MA 01845
Phone (978) 687-1313
62 Rochester Hill Rd
Rochester, NH 03867
Phone (603) 335-3955
29 Stiles Rd
Ste 101
Salem, NH 03079
Phone (603) 893-7400
250 Skillman St
Ste 202
Brooklyn, NY 11205
Organizations & group practices 2
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": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1265601710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 MERRIMACK ST",
"address_2": "BLDG 9, ENTRANCE I",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431740",
"telephone_number": "978-688-6182",
"fax_number": "978-689-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 MERRIMACK ST",
"address_2": "BLDG 9, ENTRANCE I",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431740",
"telephone_number": "978-688-6182",
"fax_number": "978-689-0731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANAGIOTOPOULOS",
"first_name": "IOANIS",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-28",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "813",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110078437A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3091085",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.