Individual provider Active NPI

Nathan M Bates, OD

  • Optometrist
  • North Dartmouth, MA
National Provider Identifier
1457077950
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5585 Issued in MA
Practice address
83 Faunce Corner Rd
North Dartmouth, MA 02747-1210
Phone
(508) 997-6591
NPI assigned
Oct 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5585 MA Primary

Addresses

Primary practice location

83 Faunce Corner Rd
North Dartmouth, MA 02747-1210

Mailing address

950 Terry LN
New Bedford, MA 02745-3300

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
I20230522000959 MA Practitioner - Optometry 1052777844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Kem Optical PCGroup PAC ID 1557587946, 3 clinicians

Practice addresses (Care Compare)

83 B Faunce Corner Rd
North Dartmouth, MA 02747-1210

83 Faunce Corner Rd
B
North Dartmouth, MA 02747-1210
Phone (508) 997-6591

83 Faunce Corner Rd B
North Dartmouth, MA 02747-1210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5585MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kem Optical P.C. Optometrist CurrentSince Feb 15, 2023 Accepting new patients

Locations

83 Faunce Corner Rd
#B
North Dartmouth, MA 02747
Phone (508) 287-2220

Organizations & group practices 1

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1457077950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 TERRY LN",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027453300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 FAUNCE CORNER RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471210",
            "telephone_number": "508-997-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "NATHAN",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.