John A. Child, O.D. – Pediatric Optometrist

Key facts

NPI: 1346301033
Entity type: Individual (NPI type 1)
Primary specialty: Pediatric Optometrist 152WP0200X
License: 3007 (MA)
Practice address: 87 Davis Straits
Falmouth, MA 02540-3909
Phone: (508) 540-3937
Fax: (508) 548-1433
NPI assigned: Dec 13, 2006
Sex: Male
Sole proprietor: Yes

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.

Aeg Massachusetts Professional PC Optometrist · Andover, MA · NPI 1952035040

Medicare reassignment Care Compare group NPD MA · OPTOMETRIST
Cape Cod Vision Associates Inc Optometrist · Falmouth, MA · NPI 1831218759

Medicare reassignment NPD Authorized official MA · OPTOMETRIST

Medicare Care Compare profile

Specialty: Optometry
Education: New England College of Optometry, 1982
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Aeg Massachusetts Professional PC (44 clinicians)

Practice addresses (Care Compare)

87 Davis Straits
Falmouth, MA 02540-3909
Phone (508) 540-3937

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20070405000105	MA	Practitioner - Optometry	6800990540	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
3007	MA	MD	Athletic Trainer

Practice roles

Organization	Specialty	Status	New patients
Aeg Massachusetts Professional PC	Optometrist	Current since Dec 9, 2023	Accepting new patients
Cape Cod Vision Associates Inc	Optometrist	Current since Sep 19, 2006	Accepting new patients

Locations

15 Central St
Andover, MA 01810
Phone (978) 475-1230

87 Davis Straits
Falmouth, MA 02540
Phone (508) 540-3937

850 Chelmsford St
Lowell, MA 01851
Phone (978) 452-0127

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist	152W00000X	3007	MA
Low Vision Rehabilitation Optometrist	152WL0500X	3007	MA
Pediatric Optometrist	152WP0200X	3007	MA	Yes
Vision Therapy Optometrist	152WV0400X	3007	MA

Addresses

Primary practice location

87 Davis Straits
Falmouth, MA 02540-3909

Mailing address

87 Davis Straits
Falmouth, MA 02540-3909
Phone (508) 540-3937

Other identifiers

Identifier	Type	State	Issuer
0393568	Medicaid	MA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346301033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 DAVIS STRAITS",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403909",
            "telephone_number": "508-540-3937",
            "fax_number": "508-548-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 DAVIS STRAITS",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403909",
            "telephone_number": "508-540-3937",
            "fax_number": "508-548-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILD",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3007",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MA",
            "license": "3007",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MA",
            "license": "3007",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MA",
            "license": "3007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0393568",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

All providers in Falmouth, MA · Pediatric Optometrist in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.