Active NPI
Michelle Deanne Vinagre, O.D.
- Optometrist
- E. Wareham, MA
National Provider Identifier
1457445876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4124
- Practice address
- 3003-B Cranberry Hwy.
E. Wareham, MA 02538 - Phone
- (508) 295-2661
- Fax
- (508) 295-2774
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4124 | MA | Primary |
Addresses
Primary practice location
3003-B Cranberry Hwy.
E. Wareham, MA 02538
Mailing address
7 Ginny'S Drive
Rochester, MA 02770
Phone (508) 763-8165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0313475 | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050914000222 | MA | Practitioner - Optometry | 8820021553 | Practice locations: East Wareham, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2991 F-2 Cranberry Hwy
East Wareham, MA 02538-1354
Phone (508) 295-2661
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.3 of 100
- Quality
- 78.61
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457445876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 GINNY'S DRIVE",
"city": "ROCHESTER",
"state": "MA",
"postal_code": "02770",
"telephone_number": "508-763-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003-B CRANBERRY HWY.",
"city": "E. WAREHAM",
"state": "MA",
"postal_code": "02538",
"telephone_number": "508-295-2661",
"fax_number": "508-295-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINAGRE",
"first_name": "MICHELLE",
"middle_name": "DEANNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0313475",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in E. Wareham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.