Individual provider Active NPI

Marc Alan Foner, O.D.

  • Optometrist
  • Framingham, MA
National Provider Identifier
1417067547
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3247 Issued in MA
Practice address
167 Union Ave
Framingham, MA 01702-8247
Phone
(508) 879-0980
Fax
(508) 270-3927
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3247 MA Primary

Addresses

Primary practice location

167 Union Ave
Framingham, MA 01702-8247

Mailing address

167 Union Ave
Framingham, MA 01702-8247
Phone (508) 879-0980

Other identifiers 3

IdentifierTypeStateIssuer
0324001OtherMAMASS HEALTH
712990OtherMATUFTS HEALTH CARE
W16068OtherMABCBS MA.

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
I20111209000199 MA Practitioner - Optometry 9133394711 Practice locations: Framingham, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

167 Union Ave
Framingham, MA 01702-8247
Phone (508) 879-0980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3247MAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1417067547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 UNION AVE",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028247",
            "telephone_number": "508-879-0980",
            "fax_number": "508-270-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 UNION AVE",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028247",
            "telephone_number": "508-879-0980",
            "fax_number": "508-270-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONER",
        "first_name": "MARC",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH",
            "identifier": "0324001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH CARE",
            "identifier": "712990",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA.",
            "identifier": "W16068",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.