Organization Active NPI

Melrose Family Opticians LLC

  • Optometrist
  • Melrose, MA
National Provider Identifier
1528291424
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MELROSE FAMILY OPTICIANS LLC
Practice address
490 Main St
Melrose, MA 02176-3841
Phone
(781) 665-0897
Fax
(781) 665-8828
NPI assigned
Aug 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Dr. Charles Maggio, ODNPI 1275595662
Title
Optometrist/Partner
Phone
(781) 665-0897

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

490 Main St
Melrose, MA 02176-3841

Mailing address

490 Main St
Melrose, MA 02176-3841
Phone (781) 665-0897

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091022000480 MA Part B Supplier - Clinic/Group Practice 4385781426 Receives reassigned benefits from 2 practitioners
Practice locations: Melrose, MA

National Provider Directory

National Provider Directory

Locations

490 Main St
Melrose, MA 02176
Phone (781) 665-0897

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1528291424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763841",
            "telephone_number": "781-665-0897",
            "fax_number": "781-665-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763841",
            "telephone_number": "781-665-0897",
            "fax_number": "781-665-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE FAMILY OPTICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "MAGGIO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OPTOMETRIST/PARTNER",
        "authorized_official_telephone_number": "781-665-0897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.