Dr Janis F Mertz PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3047 Issued in MA

Legal business name

DR JANIS F MERTZ PC

Practice address

36 Cordage Park Cir
Suite 108
Plymouth, MA 02360-7331

Phone

(508) 747-3937

Fax

(508) 747-0104

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Janis Faith Mertz, O.D.

Title

Partner

Phone

(508) 747-3937

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1437353968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WAGON WHEEL RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603481",
            "telephone_number": "508-747-3937",
            "fax_number": "508-747-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CORDAGE PARK CIR",
            "address_2": "SUITE 108",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607331",
            "telephone_number": "508-747-3937",
            "fax_number": "508-747-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JANIS F MERTZ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "MERTZ",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "508-747-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356638",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA2331",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W20489",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.