Individual provider Active NPI

Rita A Cherian, O.D.

  • Optometrist
  • Wakefield, MA
National Provider Identifier
1336300235
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4699 Issued in MA
Practice address
669 Main St
Wakefield, MA 01880-5221
Phone
(781) 245-5200
Fax
(781) 246-3932
NPI assigned
Jun 23, 2008
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002055 PA
Optometrist 152W00000X 4699 MA Primary

Addresses

Primary practice location

669 Main St
Wakefield, MA 01880-5221

Mailing address

669 Main St
Wakefield, MA 01880-5221
Phone (781) 245-5200

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
I20090929000238 MA Practitioner - Optometry 7113073487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Suburban Eye Associates PCGroup PAC ID 5193747186, 10 clinicians

Practice addresses (Care Compare)

669 Main St
Wakefield, MA 01880-5221
Phone (781) 245-5200

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
74.43
Improvement activities
40
Cost
77.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4699MAMDMental Health Counselor
OEG002055PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Suburban Eye Associates PC Optometrist CurrentSince Dec 16, 2012 Accepting new patients
North Suburban Eye Associates LLC CurrentSince Aug 21, 2019 Accepting new patients

Locations

669 Main St
Wakefield, MA 01880
Phone (781) 245-5200

955 Main St
Winchester, MA 01890
Phone (781) 729-1900

955 Main St
Ste 108
Winchester, MA 01890
Phone (781) 721-0447

Interoperability endpoints

  • Direct secure messaging: rita.cherian.p1@direct.northsuburbaneye.nextgenshare.com

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, 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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1336300235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805221",
            "telephone_number": "781-245-5200",
            "fax_number": "781-246-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805221",
            "telephone_number": "781-245-5200",
            "fax_number": "781-246-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERIAN",
        "first_name": "RITA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002055",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

Verify at the official NPI Registry.