Active NPI
Sonda Carol Moody-McCarthy, OPTICIAN
- Optician
- Ashland, MA
National Provider Identifier
1467561621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 179779
- Practice address
- 25 W Union St
101
Ashland, MA 01721-1465 - Phone
- (508) 881-4800
- Fax
- (508) 881-7806
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 179779 | MA | Primary |
Addresses
Primary practice location
25 W Union St
101
Ashland, MA 01721-1465
Mailing address
25 W Union St
101
Ashland, MA 01721-1465
Phone (508) 881-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032228801603 | Medicaid | MA | |
| 1599062 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179779 | MA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1467561621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 W UNION ST",
"address_2": "101",
"city": "ASHLAND",
"state": "MA",
"postal_code": "017211465",
"telephone_number": "508-881-4800",
"fax_number": "508-881-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 W UNION ST",
"address_2": "101",
"city": "ASHLAND",
"state": "MA",
"postal_code": "017211465",
"telephone_number": "508-881-4800",
"fax_number": "508-881-7806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY-MCCARTHY",
"first_name": "SONDA",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "179779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032228801603",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1599062",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.