Individual provider Active NPI

Blair O'Reilly, O.D.

  • Optometrist
  • Webster, MA
National Provider Identifier
1275848509
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4836 Issued in MA
Practice address
56 Worcester Rd Unit B
Webster, MA 01570-2105
Phone
(508) 943-9057
Fax
(508) 943-9057
NPI assigned
Aug 11, 2010
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002601 GA
Optometrist 152W00000X 4836 MA Primary

Addresses

Primary practice location

56 Worcester Rd Unit B
Webster, MA 01570-2105

Mailing address

56 Worcester Rd
Webster, MA 01570-2105
Phone (508) 943-9057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110420000124 MA Practitioner - Optometry 6507041472 Reassigns benefits to 3 organizations
Practice locations: Dedham, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OPT002601GAMDOptometrist
4836MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Dec 1, 2016 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Sep 30, 2024 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Exeter Eye Associates, LLC Optometrist CurrentSince Jun 15, 2016 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Sep 30, 2024 Accepting new patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Dec 1, 2016 Accepting new patients
Linda S Botello OD Optometrist Past Accepting new patients

Locations

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481

37 Newbury St
Boston, MA 02116
Phone (617) 437-1070

139 Endicott St
Danvers, MA 01923
Phone (978) 646-8930

1 Highland Ave
#3B
Malden, MA 02148
Phone (781) 321-9039

175 E Houston St
Fl 5
San Antonio, TX 78205
Phone (210) 524-6922

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

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": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1275848509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 WORCESTER RD",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015702105",
            "telephone_number": "508-943-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WORCESTER RD UNIT B",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015702105",
            "telephone_number": "508-943-9057",
            "fax_number": "508-943-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002601",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, MA

Sources for this page

Verify at the official NPI Registry.