NPIMap

Individual provider Active NPI

Justin Michael Carrion, OD

  • Optometrist
  • Worcester, MA
National Provider Identifier
1487388161
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5540 Issued in MA
Practice address
10 Lincoln SQ
Worcester, MA 01608-1135
Phone
(508) 373-5830
NPI assigned
Jul 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5540 MA Primary

Addresses

Primary practice location

10 Lincoln SQ
Worcester, MA 01608-1135

Mailing address

166 Valley St Apt 6A305
Providence, RI 02909-2473
Phone (620) 290-3328

Other practice location 1

623 Atwells Ave
Providence, RI 02909-7403
Phone (401) 273-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907002755 MA Practitioner - Optometry 1355705450 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Westin Cohen OD PLLCGroup PAC ID 1153765912, 2 clinicians
North End Community Health Committee, Inc.Group PAC ID 8224043971, 56 clinicians
Codman Square Health Center, IncGroup PAC ID 8123013869, 67 clinicians

Practice addresses (Care Compare)

287 School St
Mansfield, MA 02048-1850
Phone (508) 339-6800

332 Hanover St
Boston, MA 02113-1901
Phone (617) 643-8000

637 Washington St
Dorchester, MA 02124-3510
Phone (617) 825-9660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5540MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Goswick Eye LLC Optometrist CurrentSince Aug 24, 2023 Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Nov 15, 2023 Accepting new patients
Codman Square Health Center Inc CurrentSince Sep 1, 2024 Accepting new patients
North End Community Health Committee Inc CurrentSince Sep 1, 2024 Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Nov 15, 2023 Accepting new patients
Westin Cohen OD PLLC Optometrist CurrentSince Jun 10, 2024 Accepting new patients
Leominster Family Eyecare PLLC Optometrist PastSince Jun 18, 2023 Accepting new patients

Locations

332 Hanover St
Boston, MA 02113
Phone (617) 643-8000

15 Tufts St
Charlestown, MA 02129
Phone (857) 238-1100

637 Washington St
Dorchestr Ctr, MA 02124
Phone (617) 822-8211

354 Waverley St
Framingham, MA 01702
Phone (508) 270-5700

694 Main St
Holden, MA 01520
Phone (508) 829-6665

287 School St
Mansfield, MA 02048
Phone (508) 339-6800

345 Main St
Northborough, MA 01532
Phone (508) 832-4613

19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122

650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318

Interoperability endpoints

  • Direct secure messaging: jcarrion247181@direct.bmc.masshiway.net

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1487388161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 VALLEY ST APT 6A305",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029092473",
            "telephone_number": "620-290-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LINCOLN SQ",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081135",
            "telephone_number": "508-373-5830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 Atwells Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029097403",
            "country_code": "US",
            "telephone_number": "401-273-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRION",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-10",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.