Organization Active NPI

C & C Optometric Services Inc

Doing business as Rehoboth Vision Care

  • Optometrist
  • Rehoboth, MA
National Provider Identifier
1326528241
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
C & C OPTOMETRIC SERVICES INC
Doing business as
Rehoboth Vision Care
Practice address
492 Winthrop St
Rehoboth, MA 02769-1200
Phone
(774) 645-0005
NPI assigned
Aug 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Dr. Christopher Covello, ODNPI 1750538328
Title
Optometrist
Phone
(774) 901-8020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

492 Winthrop St
Rehoboth, MA 02769-1200

Mailing address

492 Winthrop St
Rehoboth, MA 02769-1200
Phone (774) 901-8020

Other names 1

  • REHOBOTH VISION CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181121002291 MA Part B Supplier - Clinic/Group Practice 1850645235 Receives reassigned benefits from 2 practitioners
Practice locations: Rehoboth, MA

National Provider Directory

National Provider Directory

Locations

492 Winthrop St
Unit 2
Rehoboth, MA 02769
Phone (774) 645-0005

492 Winthrop St
Rehoboth, MA 02769
Phone (774) 645-0005

Practitioners & affiliated clinicians

Practitioners 2

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": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1326528241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 WINTHROP ST",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027691200",
            "telephone_number": "774-901-8020",
            "fax_number": "774-901-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 WINTHROP ST",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027691200",
            "telephone_number": "774-645-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C OPTOMETRIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "COVELLO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "774-901-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REHOBOTH VISION CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rehoboth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.