Individual provider Active NPI

Danielle M Ledoux, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Beverly, MA
National Provider Identifier
1528085982
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
229695 Issued in MA
Practice address
77 Herrick St Ste 102
Beverly, MA 01915-2734
Phone
(978) 338-4321
Fax
(978) 927-1010
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 229695 MA
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 229695 MA Primary

Addresses

Primary practice location

77 Herrick St Ste 102
Beverly, MA 01915-2734

Mailing address

77 Herrick St Ste 102
Beverly, MA 01915-2734
Phone (978) 338-4321

Other practice location 1

300 Longwood Ave
Fegan 4
Boston, MA 02115-5724
Phone (781) 216-1441

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070418000391 MA Practitioner - Ophthalmology 5294766754 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Emory University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

77 Herrick St
Suite 102
Beverly, MA 01915-2734
Phone (978) 338-4321

Hospital & facility affiliations

  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
229695MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spec, LLC Ophthalmology CurrentSince Mar 22, 2016 Accepting new patients
Childrens Hospital Ophthalmology Foundation Inc Ophthalmology CurrentSince Feb 1, 2016 Accepting new patients
Specialty Pediatric Eye Care, LLC Ophthalmology CurrentSince Mar 21, 2016 Accepting new patients
Pediatric Ophthalmology & Strabismus Associates Inc Ophthalmology PastSince Sep 1, 2000 Accepting new patients
Sinoptics, Inc Past Accepting new patients

Locations

77 Herrick St
Ste 102
Beverly, MA 01915
Phone (978) 338-4321

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

300 Longwood Ave
#4
Boston, MA 02115
Phone (617) 355-6401

Interoperability endpoints

  • Direct secure messaging: dledoux26920@direct.bostonchildrens.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1528085982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST STE 102",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152734",
            "telephone_number": "978-338-4321",
            "fax_number": "978-927-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST STE 102",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152734",
            "telephone_number": "978-338-4321",
            "fax_number": "978-927-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Longwood Ave",
            "address_2": "Fegan 4",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "781-216-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDOUX",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "229695",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "MA",
            "license": "229695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.