NPIMap

Organization Active NPI

Eyecare-Eyewear Assoc., P.C.

  • Optometrist
  • Taunton, MA
National Provider Identifier
1306993027
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECARE-EYEWEAR ASSOC., P.C.
Practice address
45 Cohannet St
Taunton, MA 02780-3903
Phone
(508) 824-4100
Fax
(508) 823-2563
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Nellie Rodelle
Title
Office Manager
Phone
(508) 824-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

45 Cohannet St
Taunton, MA 02780-3903

Mailing address

45 Cohannet St
Taunton, MA 02780-3903
Phone (508) 824-4100

Other identifiers 1

IdentifierTypeStateIssuer
9721509MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071221000167 MA Part B Supplier - Clinic/Group Practice 1951491380 Receives reassigned benefits from 3 practitioners
Practice locations: Taunton, MA
O20100930093680 MA DME Supplier - Physician - Optometrist 1951491380 Practice locations: Taunton, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eyecare-Eyewear Assoc., P.C.45 Cohannet St, Taunton, MA 02780-3903(508) 824-4100 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory

Locations

45 Cohannet St
Taunton, MA 02780
Phone (508) 823-0781

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1306993027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 COHANNET ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803903",
            "telephone_number": "508-824-4100",
            "fax_number": "508-823-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 COHANNET ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803903",
            "telephone_number": "508-824-4100",
            "fax_number": "508-823-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE-EYEWEAR ASSOC., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "RODELLE",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-824-4100"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9721509",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.