Individual provider Active NPI

Antonia Rose Lettrick, OD

  • Optometrist
  • Mansfield, MA
National Provider Identifier
1447930581
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5730 Issued in MA
Practice address
1 N Main St
Mansfield, MA 02048-2227
Phone
(508) 339-7600
Fax
(508) 339-6393
NPI assigned
Jul 24, 2023
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5730 MA Primary
Vision Therapy Optometrist 152WV0400X 27OA00721800 NJ

Addresses

Primary practice location

1 N Main St
Mansfield, MA 02048-2227

Mailing address

1 N Main St
Mansfield, MA 02048-2227
Phone (508) 339-7600

Other practice location 1

20 Roche Bros Way Ste 7
North Easton, MA 02356-1030
Phone (508) 238-5200

Other practice location 2

67 Obery St
Plymouth, MA 02360-2181
Phone (508) 747-2020

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
I20240826001085 MA Practitioner - Optometry 7719426550 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Associates IncGroup PAC ID 0244482883, 26 clinicians
Bay Eye Center PCGroup PAC ID 4587625595, 14 clinicians

Practice addresses (Care Compare)

51 State Rd
Dartmouth, MA 02747-3319
Phone 77432030404215

67 Obery St
Plymouth, MA 02360-2181
Phone (508) 339-7600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5730MAMDOptometrist
27OA00721800NJMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Van Tosh O.D Optometrist CurrentSince Sep 5, 2024 Accepting new patients
Eye Health Associates Inc CurrentSince Mar 1, 2026 Accepting new patients
Bay Eye Center PC Optometrist CurrentSince Aug 8, 2024 Accepting new patients
Duxbury Vision PC Optometrist CurrentSince Sep 5, 2024 Accepting new patients
Easton Vision PC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Eye Health Associates Inc Optometrist CurrentSince Mar 1, 2026 Accepting new patients
Barnstable Eye PC Optometrist Past Accepting new patients

Locations

1 N Main St
Mansfield, MA 02048
Phone (508) 339-7600

284 N Main St
Ste A
Mansfield, MA 02048
Phone (508) 339-7600

51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400

20 Roche Brothers Way
Ste 7
North Easton, MA 02356
Phone (508) 238-5200

67 Obery St
Plymouth, MA 02360
Phone (508) 339-7600

64 Winthrop St
Taunton, MA 02780
Phone (508) 822-2041

Organizations & group practices 7

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1447930581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482227",
            "telephone_number": "508-339-7600",
            "fax_number": "508-339-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482227",
            "telephone_number": "508-339-7600",
            "fax_number": "508-339-6393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Roche Bros Way Ste 7",
            "address_purpose": "LOCATION",
            "city": "North Easton",
            "state": "MA",
            "postal_code": "023561030",
            "country_code": "US",
            "telephone_number": "508-238-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 Obery St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023602181",
            "country_code": "US",
            "telephone_number": "508-747-2020",
            "fax_number": "508-747-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETTRICK",
        "first_name": "ANTONIA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5730",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27OA00721800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.