Jacob Ethan Strous, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5607 Issued in MA

Practice address

1132 Main St
Weymouth, MA 02190-1511

Phone

(781) 878-2300

Fax

(781) 878-2382

NPI assigned

Jul 7, 2022

Sex

Male

Sole proprietor

No

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 FL, MA2 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

Zachary Jost II, PCGroup PAC ID 6406392927, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Zachary Jost II, PC

  • Optometrist
  • Weymouth, MA
  • NPI 1033951439
  Medicare reassignment Care Compare group NPD
• Aaron J. Evans O.D. P.a.

  • Optometrist
  • Boca Raton, FL
  • NPI 1689904575
  Medicare reassignment NPD

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1376276386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 MAIN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901511",
            "telephone_number": "781-878-2300",
            "fax_number": "781-878-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 MAIN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901511",
            "telephone_number": "781-878-2300",
            "fax_number": "781-878-2382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21126 Saint Andrews Blvd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334332404",
            "country_code": "US",
            "telephone_number": "561-564-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROUS",
        "first_name": "JACOB",
        "middle_name": "ETHAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6144",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Jared Stoller, MD
• Melissa Stone, PSYD
• James Strain, M.D.
• Rebecca Street, DO
• Strength Recovery Services LLC
• Melyssa Sueiro, M.S.
• Alyson Nicole Sullivan, BA
• Elana Sullivan, M.D.
• Jessica Jeanne Sullivan, NP
• Joyce M Sullivan, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.