Organization Active NPI

Anna Cressey OD, LLC

  • Corneal and Contact Management Optometrist
  • Wellesley, MA
National Provider Identifier
1366718462
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
4744 Issued in MA
Legal business name
ANNA CRESSEY OD, LLC
Practice address
68 Central Street
Wellesley, MA 02482-5806
Phone
(207) 577-6385
Fax
(781) 239-1010
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Authorized official

Name
Christine Soares
Title
Billing
Phone
(508) 679-9032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 4744 MA Primary

Addresses

Primary practice location

68 Central Street
Wellesley, MA 02482-5806

Mailing address

3 West Ave
Hudson, MA 01749-3018
Phone (207) 577-6385

Other names 1

  • Wellesley Vision Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000133 MA Part B Supplier - Clinic/Group Practice 7214198357 Receives reassigned benefits from 2 practitioners
Practice locations: Wellesley, MA

National Provider Directory

National Provider Directory

Locations

72 Central St
Wellesley, MA 02482
Phone (781) 235-2423

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1366718462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WEST AVE",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017493018",
            "telephone_number": "207-577-6385",
            "fax_number": "781-239-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CENTRAL STREET",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825806",
            "telephone_number": "207-577-6385",
            "fax_number": "781-239-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA CRESSEY OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "SOARES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "508-679-9032"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "4744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellesley Vision Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellesley Vision Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.