Individual provider Active NPI

Emily Marie Carell, O.D.

  • Optometrist
  • Lowell, MA
National Provider Identifier
1417242793
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002512 Issued in PA
Practice address
130 Marshall Rd
Lowell, MA 01852-5130
Phone
(978) 671-9125
NPI assigned
Jun 14, 2011
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002512 PA Primary

Addresses

Primary practice location

130 Marshall Rd
Lowell, MA 01852-5130

Mailing address

130 Marshall Rd
Lowell, MA 01852-5130
Phone (978) 671-9125

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
I20130613000650 MA Order and Referring Only - OptometryPractitioner - Optometry 2860631314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002512PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1417242793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MARSHALL RD",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018525130",
            "telephone_number": "978-671-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MARSHALL RD",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018525130",
            "telephone_number": "978-671-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARELL",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.