Individual provider Active NPI

Ferdinand Velazquez, O.D.

  • Optometrist
  • North Oxford, MA
National Provider Identifier
1275551863
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3731 Issued in MA
Practice address
742 Main St
North Oxford, MA 01537-1148
Phone
(508) 987-1117
Fax
(508) 987-3315
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3731 MA Primary

Addresses

Primary practice location

742 Main St
North Oxford, MA 01537-1148

Mailing address

90 Moreland Green Dr
Worcester, MA 01609-1076
Phone (508) 450-1350

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
I20060413000603 MA Practitioner - Optometry 2961411236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3731MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Square Vision Inc CurrentSince Sep 30, 2024 Accepting new patients
Velazquez Vision First, Inc. Optometrist Past Accepting new patients

Locations

120 Stafford St
Worcester, MA 01603
Phone (508) 344-7530

120 Stafford St
Ste 205
Worcester, MA 01603
Phone (508) 752-0062

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275551863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MORELAND GREEN DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091076",
            "telephone_number": "508-450-1350",
            "fax_number": "508-987-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 MAIN ST",
            "city": "NORTH OXFORD",
            "state": "MA",
            "postal_code": "015371148",
            "telephone_number": "508-987-1117",
            "fax_number": "508-987-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "FERDINAND",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Oxford, MA

Sources for this page

Verify at the official NPI Registry.