Individual provider Active NPI

Alice A Cusner, O.D.

  • Optometrist
  • Canton, MA
National Provider Identifier
1427042209
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3025 Issued in MA
Practice address
537 Washington St
Canton, MA 02021-3001
Phone
(781) 821-1225
Fax
(781) 821-8160
NPI assigned
Sep 7, 2005
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3025 MA Primary

Addresses

Primary practice location

537 Washington St
Canton, MA 02021-3001

Mailing address

537 Washington St
Canton, MA 02021-3001
Phone (781) 821-1225

Other identifiers 1

IdentifierTypeStateIssuer
0348597MedicaidMA

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
I20090618000562 MA Practitioner - Optometry 3072663756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3025MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alan M Rapoport OD Optometrist PastSince Oct 3, 2010 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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1427042209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213001",
            "telephone_number": "781-821-1225",
            "fax_number": "781-821-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213001",
            "telephone_number": "781-821-1225",
            "fax_number": "781-821-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSNER",
        "first_name": "ALICE",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0348597",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.