Cape Ann Optometry LLC
Organization Active NPI Optometrist · Gloucester, MA
NPI 1497500979 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1497500979
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- CAPE ANN OPTOMETRY LLC
- Practice address
- 127 Eastern Ave
Gloucester, MA 01930-1802 - Phone
- (351) 217-8052
- NPI assigned
- Apr 18, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Lloyd Haskes, OD
- Title
- Optometrist
- Phone
- (917) 705-4464
Practitioners 1
-
Lloyd Haskes, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240524000165 | MA | Part B Supplier - Clinic/Group Practice | 5395187157 |
Receives reassigned benefits from 1 practitioner Practice locations: Gloucester, MA |
National Provider Directory
Locations
127 Eastern Ave
Ste 5
Gloucester, MA 01930
Phone (617) 821-8797
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
127 Eastern Ave
Gloucester, MA 01930-1802
Mailing address
52 Knoll LN
Levittown, NY 11756-2601
Other providers in Gloucester, MA
- Cape Ann Dental Group, PC
- Cape Ann Eye Specialists, P.C.
- Cape Ann Medical Center
- Cape Ann Medical Center Inc
- Cape Ann Medical Center LLC
- Cape Ann Pediatricians
- William Richard Caperci
- Mary Capobianco-Korpi
- Victor Carabba
- Samantha Carapellucci
All providers in Gloucester, MA · Optometrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.