Individual provider Active NPI

Joyce Nidal Rached, OD

  • Optometrist
  • Bridgewater, MA
National Provider Identifier
1366920084
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5298 Issued in MA
Practice address
54 Broad St
Bridgewater, MA 02324-1748
Phone
(508) 697-8001
NPI assigned
Aug 3, 2018
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5298 MA Primary
Optometrist 152W00000X ODTG00660 RI

Addresses

Primary practice location

54 Broad St
Bridgewater, MA 02324-1748

Mailing address

54 Broad St
Bridgewater, MA 02324-1748
Phone (508) 697-8001

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
I20190829002539 MA Practitioner - Optometry 5395073209 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Bay Eye Center PCGroup PAC ID 4587625595, 14 clinicians
Bridgewater EyeGroup PAC ID 6406261460, 3 clinicians

Practice addresses (Care Compare)

126 Union St
Mansfield, MA 02048-2427

2 Whiting Rd
Dover, MA 02030-2451
Phone (508) 785-1770

284 N Main St
Mansfield, MA 02048-2287
Phone (508) 339-7600

54 Broad St
Bridgewater, MA 02324-1748
Phone (508) 697-8001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODTG00660RIMDOptometrist
5298MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Eye Center PC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Dover Eyes Inc Optometrist CurrentSince Jun 28, 2024 Accepting new patients
Bridgewater Eye Optometrist CurrentSince Oct 14, 2020 Accepting new patients
Easton Vision PC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Plymouth Bridgewater Eye Care Optometrist CurrentSince Mar 19, 2023 Accepting new patients
Barnstable Eye PC Optometrist Past Accepting new patients

Locations

54 Broad St
Bridgewater, MA 02324
Phone (508) 697-8001

2 Whiting Rd
Dover, MA 02030
Phone (508) 785-1770

1 N Main St
Mansfield, MA 02048
Phone (508) 339-7600

20 Roche Brothers Way
Ste 7
North Easton, MA 02356
Phone (508) 238-5200

67 Obery St
Plymouth, MA 02360
Phone (508) 339-7600

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1366920084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BROAD ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241748",
            "telephone_number": "508-697-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BROAD ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241748",
            "telephone_number": "508-697-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHED",
        "first_name": "JOYCE",
        "middle_name": "NIDAL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2023-03-14",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5298",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.