Individual provider Active NPI

Joseph Tarantino

  • Optometrist
  • North Dartmouth, MA
National Provider Identifier
1487785945
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3752 Issued in MA
Practice address
500 Faunce Corner Rd
Suite 110
North Dartmouth, MA 02747
Phone
(508) 717-0270
Fax
(508) 995-3060
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3752 MA Primary

Addresses

Primary practice location

500 Faunce Corner Rd
Suite 110
North Dartmouth, MA 02747

Mailing address

120 Plain St
Mansfield, MA 02048-1016
Phone (508) 339-1454

Other names 1

  • Dr. Joseph Tarantino Professional name

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
I20040819000196 MA Practitioner - Optometry 2264405968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3752MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Centers Inc Optometrist CurrentSince May 19, 2008 Accepting new patients
Kem Optical P.C. Optometrist Past Accepting new patients
John Magalhaes and Associates, Inc. Optometrist Past Accepting new patients

Locations

500 Faunce Corner Rd
Ste 110
North Dartmouth, MA 02747
Phone (508) 717-0270

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1487785945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PLAIN ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481016",
            "telephone_number": "508-339-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAUNCE CORNER RD",
            "address_2": "SUITE 110",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "02747",
            "telephone_number": "508-717-0270",
            "fax_number": "508-995-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTINO",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "TARANTINO",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.