Alexa Haley Vardiman

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT8326 Issued in MA

Practice address

274 Pleasant St
Northampton, MA 01060-3992

Phone

(413) 584-6616

NPI assigned

May 5, 2025

Last updated

Jul 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Massachusetts P CGroup PAC ID 1951661297, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Myeyedr Optometry of Massachusetts P C

  dba MyEyeDr.

  • Optometrist
  • Amherst, MA
  • NPI 1124534946
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • North Andover, MA
  • NPI 1922971415
  NPD
• Myeyedr Optometry of Massachusetts P C

  dba MyEyeDr.

  • Optometrist
  • Newton, MA
  • NPI 1508405499
  NPD (past)

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1336938364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 PLEASANT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603992",
            "telephone_number": "413-584-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDIMAN",
        "first_name": "ALEXA",
        "middle_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT8326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Psychotherapy PLLC
• Reina Maude Van Natta, LICSW
• Grace Van Schoick
• Jordyn Tamra Vandergrift
• Ethan Keyes Vandermark
• Liana S Varosky
• Ann Catherine Vaughn, DC
• Hanna Sivia Vaughn, LICSW
• Joanna Vaughn, LICSW
• Nathalie A Vaughn, MSW

• Optometrist in Northampton, MA
• Providers in Northampton, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.