Individual provider Active NPI

Ioanis Panagiotopoulos, O.D.

  • Optometrist
  • Lawrence, MA
National Provider Identifier
1265601710
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4665 Issued in MA
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

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110078437AMedicaidMA
3091085MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4665MAMDOptometrist
813NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tallman Eye Associates, PC Optometrist CurrentSince Feb 1, 2008 Accepting new patients
Swift Optometry Care PC Optometrist CurrentSince Jun 1, 2024 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

Verify at the official NPI Registry.