Allen James Nicoletti

Primary specialty

OptometristTaxonomy code 152W00000X

License

5544 Issued in MA

Practice address

10 Lincoln SQ
Worcester, MA 01608-1135

Phone

(508) 373-5830

NPI assigned

Feb 14, 2022

Last updated

Dec 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, RI2 enrollments

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 2

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Koch Eye Associates LLPGroup PAC ID 1153213921, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Koch Eye Associates LLP

  • Ophthalmology Physician
  • Warwick, RI
  • NPI 1194881961

  Optometrist

  Medicare reassignment Care Compare group NPD
• McPhs University

  dba Eye and Vision Center

  • General Practice Physician
  • Worcester, MA
  • NPI 1871852566

  Optometrist

  Medicare reassignment NPD
• Eye Health Associates of Rhode Island Inc

  • Ophthalmology Physician
  • Middletown, RI
  • NPI 1124370176

  Optometrist

  Medicare reassignment NPD
• Eye Health Associates of Rhode Island Inc

  • Eyewear Supplier
  • Middletown, RI
  • NPI 1114261328
  NPD
• Koch Eye Associates, LLP

  • Eyewear Supplier
  • Woonsocket, RI
  • NPI 1720539240

  Optometrist

  NPD
• Leominster Family Eyecare PLLC

  • Optometrist
  • Leominster, MA
  • NPI 1891342457
  NPD (past)

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1366197782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TWYFORD LN",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087596710",
            "telephone_number": "718-715-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LINCOLN SQ",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081135",
            "telephone_number": "508-373-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLETTI",
        "first_name": "ALLEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-14",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "003319",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciarra Louise Nickerson
• Jenna Lee Nickerson
• Victoria Nicklin, M.S., CCC-SLP
• Bryan Israel Nicolalde Lopez, M.D
• Donald Joseph Nicole, L.C.S.W.
• Patricia Nicols
• Marek Daniel Nicpon, MD
• Rebecca Ann Niddrie, DPT
• Yvonne Marie Niebuhr
• Michael Niejadlik, MS, RD, LDN, CSCS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.