Active NPI
Monica Miller
- Optometrist
- Bellingham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5401
- Practice address
- 249 Hartford Ave SPC A170
Bellingham, MA 02019-3007 - Phone
- (617) 988-8136
- NPI assigned
- Dec 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5401 | MA | Primary |
Addresses
Primary practice location
249 Hartford Ave SPC A170
Bellingham, MA 02019-3007
Mailing address
249 Hartford Ave SPC A170
Bellingham, MA 02019-3007
Phone (617) 988-8136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
249 Hartford Ave
SPC A170
Bellingham, MA 02019-3007
Phone (774) 295-2019
35 Talcottville Rd
Vernon, CT 06066-5261
Phone (860) 870-6337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5401 | MA | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Eye, LLC | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients | |
| GSM Park Square, LLC | Optometrist | Past | Accepting new patients |
| Zachary Jost OD Inc PC | Optometrist | Past | Accepting new patients |
Locations
850 Washington St
Middletown, CT 06457
Phone (860) 347-4664
35 Talcottville Rd
Vernon Rockville, CT 06066
Phone (860) 870-6337
249 Hartford Ave
Spc A170
Bellingham, MA 02019
Phone (774) 295-2018
450 Washington St
Boston, MA 02111
Phone (617) 988-0607
21 Torrey St
Brockton, MA 02301
Phone (508) 580-8901
Organizations & group practices 4
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.
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- Optometrist
- Boston, MA
- NPI 1740605575
-
- Optometrist
- Boston, MA
- NPI 1104547462
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1306485255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 HARTFORD AVE SPC A170",
"city": "BELLINGHAM",
"state": "MA",
"postal_code": "020193007",
"telephone_number": "617-988-8136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 HARTFORD AVE SPC A170",
"city": "BELLINGHAM",
"state": "MA",
"postal_code": "020193007",
"telephone_number": "617-988-8136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.