Individual provider Active NPI

Jianyan Huang

  • Optometrist
  • Lowell, MA
National Provider Identifier
1386318764
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5502 Issued in MA
Practice address
181 Plain St
Lowell, MA 01852-5165
Phone
(978) 275-9254
NPI assigned
Aug 9, 2021
Last updated
May 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 5502 MA Primary

Addresses

Primary practice location

181 Plain St
Lowell, MA 01852-5165

Mailing address

181 Plain St
Lowell, MA 01852-5165
Phone (978) 275-9254

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://revolutionehr.com/static/#/ LUXOTTICA OF AMERICA INC.

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
I20210909001963 MA Practitioner - Optometry 3072919414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

181 Plain St
Lowell, MA 01852-5165
Phone (978) 275-9254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5502MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Eye Care LLC Optometrist CurrentSince Mar 11, 2022 Accepting new patients

Locations

181 Plain St
Lowell, MA 01852
Phone (978) 275-9254

301 Falls Blvd
Quincy, MA 02169
Phone (617) 435-8589

Organizations & group practices 1

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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652572800000",
    "number": "1386318764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 PLAIN ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018525165",
            "telephone_number": "978-275-9254",
            "fax_number": "978-275-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 PLAIN ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018525165",
            "telephone_number": "978-275-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JIANYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://revolutionehr.com/static/#/",
            "affiliation": "Y",
            "affiliationName": "LUXOTTICA OF AMERICA INC.",
            "address_1": "181 Plain St",
            "city": "Lowell",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018525165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.