Organization Active NPI

Golebiowski Eye Care LLC

  • Optometrist
  • Acton, MA
National Provider Identifier
1457063869
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GOLEBIOWSKI EYE CARE LLC
Practice address
179 Great Rd Ste 111a
Acton, MA 01720-5740
Phone
(978) 705-2888
NPI assigned
Dec 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Holly GolebiowskiNPI 1366703589
Title
Optometrist
Phone
(978) 705-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

179 Great Rd Ste 111a
Acton, MA 01720-5740

Mailing address

179 Great Rd Ste 111a
Acton, MA 01720-5740
Phone (978) 705-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240830001548 MA Part B Supplier - Clinic/Group Practice 6709325012 Receives reassigned benefits from 1 practitioner
Practice locations: Acton, MA

National Provider Directory

National Provider Directory

Locations

179 Great Rd
Ste 111A
Acton, MA 01720
Phone (978) 705-2888

342 Great Rd
Acton, MA 01720
Phone (978) 263-1968

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1457063869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 GREAT RD STE 111A",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205740",
            "telephone_number": "978-705-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 GREAT RD STE 111A",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205740",
            "telephone_number": "978-705-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLEBIOWSKI EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "GOLEBIOWSKI",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "978-705-2888"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.