Individual provider Active NPI

Michelle Vining, OD

  • Optometrist
  • North Attleboro, MA
National Provider Identifier
1447772140
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5688 Issued in MA
Practice address
1250 S Washington St Unit 9
North Attleboro, MA 02760-6227
Phone
(508) 717-0425
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5688 MA Primary

Addresses

Primary practice location

1250 S Washington St Unit 9
North Attleboro, MA 02760-6227

Mailing address

1250 S Washington St Unit 9
North Attleboro, MA 02760-6227
Phone (508) 717-0425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201002001066 CT Practitioner - Optometry 0749556124 Reassigns benefits to 1 organization
I20241125000102 MA Practitioner - Optometry 0749556124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Magalhaes and Associates, IncGroup PAC ID 4284605262, 8 clinicians

Practice addresses (Care Compare)

1250 S Washington St
North Attleboro, MA 02760-6227
Phone (508) 695-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5688MAMDOptometrist
008619NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Prudhomme Vision LLC Optometrist CurrentSince Jun 1, 2020 Accepting new patients
John Magalhaes and Associates, Inc. Optometrist CurrentSince Aug 31, 2024 Accepting new patients
Dr. Aucello & Associates, P.C. Optometrist Past Accepting new patients

Locations

61 Westfarms Mall
Ste D111
Farmington, CT 06032
Phone (860) 561-5687

194 Buckland Hills Dr
Ste 1106
Manchester, CT 06042
Phone (860) 233-2668

401 Evergreen Way
Unit 415
South Windsor, CT 06074
Phone (860) 644-3364

1250 S Washington St
Unit 9
North Attleboro, MA 02760
Phone (508) 717-0425

1250 S Washington St
North Attleboro, MA 02760
Phone (508) 717-0425

382 State Rd
North Dartmouth, MA 02747
Phone (508) 717-0425

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1447772140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S WASHINGTON ST UNIT 9",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606227",
            "telephone_number": "508-717-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S WASHINGTON ST UNIT 9",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606227",
            "telephone_number": "508-717-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINING",
        "first_name": "MICHELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

Verify at the official NPI Registry.