Organization Active NPI

McLeod Eye Associates, P.C.

  • Optometrist
  • Auburn, MA
National Provider Identifier
1487816591
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3677 Issued in MA
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.NPI 1659495729
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 IDStateProvider typePAC IDDetails
O20120724000370 MA Part B Supplier - Clinic/Group Practice 7719143544 Receives reassigned benefits from 2 practitioners
Practice locations: Auburn, MA

National Provider Directory

National Provider Directory

Locations

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3677 MA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.