Organization Active NPI

Dr Sally Carlos OD & Associates

  • Optometrist
  • Palmer, MA
National Provider Identifier
1508451832
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR SALLY CARLOS OD & ASSOCIATES
Practice address
1448 N Main Street
Palmer, MA 01069-1269
Phone
(413) 283-2946
Fax
(413) 283-3631
NPI assigned
Mar 8, 2021
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Dr. Sally Carlos, ODNPI 1174688816
Title
Owner/Optometrist
Phone
(413) 283-2946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1448 N Main Street
Palmer, MA 01069-1269

Mailing address

PO Box 655
Wilbraham, MA 01095-0655
Phone (413) 283-2956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210416000646 MA Part B Supplier - Clinic/Group Practice 2365850104 Receives reassigned benefits from 1 practitioner
Practice locations: Palmer, MA; Westford, MA

National Provider Directory

National Provider Directory

Locations

175 Littleton Rd
Ste 13
Westford, MA 01886
Phone (413) 531-3125

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1508451832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010950655",
            "telephone_number": "413-283-2956",
            "fax_number": "413-283-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 N MAIN STREET",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691269",
            "telephone_number": "413-283-2946",
            "fax_number": "413-283-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SALLY CARLOS OD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "CARLOS",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "413-283-2946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.