Individual provider Active NPI

Amy Gurland, OD

  • Optometrist
  • Brockton, MA
National Provider Identifier
1326050212
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3751 Issued in MA
Practice address
179 Quincy St
Brockton, MA 02302
Phone
(508) 586-0256
Fax
(508) 586-4544
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3751 MA Primary

Addresses

Primary practice location

179 Quincy St
Brockton, MA 02302

Mailing address

179 Quincy St
Brockton, MA 02302
Phone (508) 586-0256

Other names 1

  • Amy Lynne Dubrow Other name

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
I20070228000440 MA Practitioner - Optometry 4385746965 Reassigns benefits to 1 organization
Practice locations: Canton, MA; Sharon, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians

Practice addresses (Care Compare)

179 Quincy St
Suite 3
Brockton, MA 02302-2966
Phone (508) 894-0400

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare Medical Group Inc CurrentSince Oct 1, 2017 Accepting new patients
Premier Family Eyecare PC Optometrist Past Accepting new patients

Locations

110 Liberty St
Brockton, MA 02301

179 Quincy St
Ste 3
Brockton, MA 02302
Phone (508) 565-3252

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

179 Quincy St
Brockton, MA 02302
Phone (508) 427-7700

Interoperability endpoints

  • Direct secure messaging: amy.gurland@direct.signature.masshiway.net

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1326050212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02302",
            "telephone_number": "508-586-0256",
            "fax_number": "508-586-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02302",
            "telephone_number": "508-586-0256",
            "fax_number": "508-586-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURLAND",
        "first_name": "AMY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DUBROW",
            "middle_name": "LYNNE",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.