Individual provider Active NPI

Alexander Hentschel, OD

  • Optometrist
  • Plymouth, MA
National Provider Identifier
1467065060
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5415 Issued in MA
Practice address
67 Obery St
Plymouth, MA 02360-2181
Phone
(508) 747-2020
NPI assigned
Aug 25, 2020
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5415 MA Primary

Addresses

Primary practice location

67 Obery St
Plymouth, MA 02360-2181

Mailing address

67 Obery St
Plymouth, MA 02360-2181

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
I20201216001202 MA Practitioner - Optometry 6406268408 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Eye Center PCGroup PAC ID 4587625595, 14 clinicians

Practice addresses (Care Compare)

2277 State Rd
Unit F
Plymouth, MA 02360-7111
Phone (508) 888-6393

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5415MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedarville Eye PC Optometrist CurrentSince Apr 16, 2024 Accepting new patients
Cedarville Eye Associates PC Optometrist CurrentSince Apr 16, 2024 Accepting new patients
Bay Eye Center PC Optometrist CurrentSince Sep 30, 2020 Accepting new patients
Easton Vision PC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Barnstable Eye PC Optometrist Past Accepting new patients

Locations

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

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

2277 State Rd
Unit F
Plymouth, MA 02360
Phone (508) 888-6393

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

Organizations & group practices 5

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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1467065060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 OBERY ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 OBERY ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602181",
            "telephone_number": "508-747-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENTSCHEL",
        "first_name": "ALEXANDER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.