Active NPI
McLeod Eye Associates, P.C.
- Optometrist
- Auburn, MA
National Provider Identifier
1487816591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3677
- Legal business name
- MCLEOD EYE ASSOCIATES, P.C.
- Practice address
- 385 Southbridge St
Suite 210
Auburn, MA 01501-2498 - Phone
- (508) 721-9701
- Fax
- (508) 721-8951
- NPI assigned
- Jun 30, 2008
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Kimberly McLeod, O.D.
- Title
- Optometrist/Owner
- Phone
- (508) 721-9701
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120724000370 | MA | Part B Supplier - Clinic/Group Practice | 7719143544 |
Receives reassigned benefits from 2 practitioners Practice locations: Auburn, MA |
National Provider Directory
National Provider DirectoryLocations
567 Southbridge St
Ste 12
Auburn, MA 01501
Phone (508) 832-3937
385 Southbridge St
Ste 210
Auburn, MA 01501
Phone (508) 721-9701
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3677 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
385 Southbridge St
Suite 210
Auburn, MA 01501-2498
Mailing address
385 Southbridge St
Suite 210
Auburn, MA 01501-2498
Phone (508) 721-9701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2008.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1487816591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 SOUTHBRIDGE ST",
"address_2": "SUITE 210",
"city": "AUBURN",
"state": "MA",
"postal_code": "015012498",
"telephone_number": "508-721-9701",
"fax_number": "508-721-8951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 SOUTHBRIDGE ST",
"address_2": "SUITE 210",
"city": "AUBURN",
"state": "MA",
"postal_code": "015012498",
"telephone_number": "508-721-9701",
"fax_number": "508-721-8951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCLEOD EYE ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "MCLEOD",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "508-721-9701",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MA",
"license": "3677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.