Individual provider Active NPI

Mark A. Birrell, O.D.

  • Optometrist
  • Pittsfield, MA
National Provider Identifier
1538348495
Registry record updated Dec 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3653 Issued in MA
Practice address
555 Hubbard Ave
Pittsfield, MA 01201-3876
Phone
(413) 442-2842
NPI assigned
Oct 29, 2007
Last updated
Dec 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 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 3653 MA Primary

Addresses

Primary practice location

555 Hubbard Ave
Pittsfield, MA 01201-3876

Mailing address

555 Hubbard Ave
Pittsfield, MA 01201-3876
Phone (413) 442-2842

Other identifiers 1

IdentifierTypeStateIssuer
0356328MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3653MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Birrell Optometrist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292716800000",
    "number": "1538348495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HUBBARD AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013876",
            "telephone_number": "413-442-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HUBBARD AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013876",
            "telephone_number": "413-442-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRRELL",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2010-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356328",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.