Individual provider Active NPI

Gerald Chaskelson, O.D.

  • Optometrist
  • Orange, MA
National Provider Identifier
1306929187
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2213 Issued in MA
Practice address
119 New Athol Rd
Orange, MA 01364-9603
Phone
(978) 249-6308
NPI assigned
Oct 23, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 2213 MA Primary

Addresses

Primary practice location

119 New Athol Rd
Orange, MA 01364-9603

Mailing address

236 Nicholas Drive
Lancaster, MA 01523
Phone (978) 368-1998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2213MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ejc Eyecare, LLC Optometrist Past Accepting new patients
Jayem Opticians Inc. Past Accepting new patients
Central Dental of Lowell Inc Past Accepting new patients

Organizations & group practices 3

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306929187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 NICHOLAS DRIVE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "01523",
            "telephone_number": "978-368-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NEW ATHOL RD",
            "city": "ORANGE",
            "state": "MA",
            "postal_code": "013649603",
            "telephone_number": "978-249-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASKELSON",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.