Individual provider Active NPI

Ashley Elise Sousa, O.D.

  • Optometrist
  • Dartmouth, MA
National Provider Identifier
1356783526
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4973 Issued in MA
Practice address
51 State Rd
Dartmouth, MA 02747-3319
Phone
(508) 994-1400
Fax
(508) 910-2204
NPI assigned
Jul 29, 2013
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4973 MA Primary

Addresses

Primary practice location

51 State Rd
Dartmouth, MA 02747-3319

Mailing address

51 State Rd
Dartmouth, MA 02747-3319
Phone (508) 994-1400

Other identifiers 1

IdentifierTypeStateIssuer
110101424AMedicaidMA

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
I20131009001892 MA Practitioner - Optometry 1254565013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Oconnor and Kadrmas Eye Centers PCGroup PAC ID 5597713537, 5 clinicians
Eye Health Associates IncGroup PAC ID 0244482883, 26 clinicians

Practice addresses (Care Compare)

3119 Cranberry Hwy
East Wareham, MA 02538-4840
Phone (508) 759-1360

51 State Rd
Dartmouth, MA 02747-3319
Phone 77432030404215

55 Commerce Way
Unit 1
Plymouth, MA 02360-7252
Phone (508) 746-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Post Oconnor & Kadrmas Eye Centers P C CurrentSince Oct 13, 2014 Accepting new patients
Eye Health Associates Inc CurrentSince Aug 31, 2015 Accepting new patients
Eye Health Associates Inc Optometrist CurrentSince Aug 31, 2015 Accepting new patients
Eye Health Associates SPN LLC Past Accepting new patients
Barnstable Eye PC Optometrist Past Accepting new patients
Koch Eye Associates Optometrist Past Accepting new patients

Locations

3119 Cranberry Hwy
East Wareham, MA 02538
Phone (508) 759-1360

70 Huttleston Ave
Fairhaven, MA 02719
Phone (508) 994-2020

933 Pleasant St
Fall River, MA 02723
Phone (508) 673-2020

51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400

55 Commerce Way
Unit 1
Plymouth, MA 02360
Phone (508) 746-8600

64 Winthrop St
Taunton, MA 02780
Phone (508) 822-2041

Organizations & group practices 6

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1356783526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473319",
            "telephone_number": "508-994-1400",
            "fax_number": "508-910-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473319",
            "telephone_number": "508-994-1400",
            "fax_number": "508-910-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "ASHLEY",
        "middle_name": "ELISE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110101424A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.