Individual provider Active NPI

Kathleen Maura Murphy

  • Optometrist
  • Cambridge, MA
National Provider Identifier
1508961103
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MA3872 Issued in MA
Practice address
50 Prospect St. C/O Custom-Eyes
Cambridge, MA 02139
Phone
(617) 349-3937
Fax
(617) 349-0074
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MA3872 MA Primary

Addresses

Primary practice location

50 Prospect St. C/O Custom-Eyes
Cambridge, MA 02139

Mailing address

50 Prospect St
Cambridge, MA 02139-2401
Phone (617) 349-3937

Other identifiers 1

IdentifierTypeStateIssuer
1508961103OtherMANPI

Other names 1

  • Dr. Kathleen Maura Murphy 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
I20040219000413 MA Practitioner - Optometry 0840185666 Practice locations: Cambridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50 Prospect St
Cambridge, MA 02139-2401
Phone (617) 349-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA3872MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Murphy OD LLC Optometrist CurrentSince Jan 1, 1990 Accepting new patients

Locations

50 Prospect St
Cambridge, MA 02139
Phone (617) 349-3937

Organizations & group practices 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1508961103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PROSPECT ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392401",
            "telephone_number": "617-349-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PROSPECT ST. C/O CUSTOM-EYES",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "617-349-3937",
            "fax_number": "617-349-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KATHLEEN",
        "middle_name": "MAURA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA3872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508961103",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MURPHY",
            "middle_name": "MAURA",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.