Active NPI
Rachel Socolof, OD
- Optometrist
- Saugus, MA
National Provider Identifier
1417556101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5444
- Practice address
- 739 Broadway
Saugus, MA 01906-3207 - Phone
- (518) 932-3636
- NPI assigned
- Oct 22, 2020
- Last updated
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | 5444 | MA | Primary |
Addresses
Primary practice location
739 Broadway
Saugus, MA 01906-3207
Mailing address
40 Boylston St Apt 1
Malden, MA 02148-7803
Phone (518) 932-3636
Other practice location 1
40 Boylston St Apt 1
Malden, MA 02148-7803
Phone (518) 932-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
937 N Dobson Rd
Suite 102
Mesa, AZ 85201-7589
Phone (480) 649-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amo, Inc/Pearle Vision | Past | Accepting new patients |
Organizations & group practices 2
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": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1417556101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BOYLSTON ST APT 1",
"city": "MALDEN",
"state": "MA",
"postal_code": "021487803",
"telephone_number": "518-932-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 BROADWAY",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019063207",
"telephone_number": "518-932-3636"
}
],
"practiceLocations": [
{
"address_1": "40 Boylston St Apt 1",
"address_purpose": "LOCATION",
"city": "Malden",
"state": "MA",
"postal_code": "021487803",
"country_code": "US",
"telephone_number": "518-932-3636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOCOLOF",
"first_name": "RACHEL",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saugus, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.