Active NPI
Roger D McCarthy, OD
- Optometrist
- Falmouth, MA
National Provider Identifier
1487662409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2119
- Practice address
- 17 Davis Straits
Falmouth
Falmouth, MA 02540-3905 - Phone
- (978) 807-3163
- Fax
- (508) 477-0846
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2119 | MA | Primary |
Addresses
Primary practice location
17 Davis Straits
Falmouth
Falmouth, MA 02540-3905
Mailing address
P O Box 92
2 Old Snake Pond Rd
Forestdale, MA 02644-0092
Phone (978) 807-3163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0397377 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2119 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1487662409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 92",
"address_2": "2 OLD SNAKE POND RD",
"city": "FORESTDALE",
"state": "MA",
"postal_code": "026440092",
"telephone_number": "978-807-3163",
"fax_number": "508-477-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 DAVIS STRAITS",
"address_2": "FALMOUTH",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025403905",
"telephone_number": "978-807-3163",
"fax_number": "508-477-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "ROGER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0397377",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.