Nyssa . a. D'Hedouville OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NYSSA . A. D'HEDOUVILLE OD LLC

Doing business as

Mashpee Vision Care

Practice address

681 Falmouth Road
Upper Level Suite 25
Mashpee, MA 02649-6310

Phone

(508) 477-1802

Fax

(508) 539-3713

NPI assigned

Aug 7, 2019

Last updated

Sep 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nyssa A D'Hedouville, ODNPI 1588777072

Title

Manager

Phone

(508) 477-1802

Specialties & licenses 1

Addresses

Other names 1

• Mashpee Vision Care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Nyssa A D'Hedouville, O.D.

  • Optometrist
  • Mashpee, MA
  • NPI 1588777072
  Medicare reassignment Care Compare group NPD Authorized official
• Mara Fleming

  • Optometrist
  • Mashpee, MA
  • NPI 1942991278
  Medicare reassignment Care Compare group NPD
• Barbara Lynne Grove, OD

  • Optometrist
  • Mashpee, MA
  • NPI 1013983733
  NPD
• Ina Louise Lap, MSW

  • Social Worker
  • Brewster, MA
  • NPI 1972550853
  NPD (past)

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1518512482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 FALMOUTH ROAD",
            "address_2": "UPPER LEVEL SUITE 25",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026496310",
            "telephone_number": "508-477-1802",
            "fax_number": "508-539-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 FALMOUTH ROAD",
            "address_2": "UPPER LEVEL SUITE 25",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026496310",
            "telephone_number": "508-477-1802",
            "fax_number": "508-539-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSSA . A. D'HEDOUVILLE OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "D'HEDOUVILLE",
        "authorized_official_first_name": "NYSSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-477-1802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blg@meganet.net",
            "affiliation": "N",
            "address_1": "681 Falmouth Road",
            "address_2": "Upper Level Suite 25",
            "city": "Mashpee",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026496310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mashpee Vision Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mashpee Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael W. Nideur, PTA
• Jennifer Noel-Fils
• Daniel Paul Nordquist, PA-C
• Christopher James Novak, PHARMD, CGP
• Melissa Nunnelley
• Victoria Anne O'Doherty-Popp, LCSW
• Mary-Amanda Wojtyk O'Neill, M.D.
• Oak Tree Mental Health and Wellness
• David Olbrych
• Kelly A Ostrander

• Optometrist in Mashpee, MA
• Providers in Mashpee, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.