Active NPI
Leonid Demihovsky, RDO
- Optician
- Worcester, MA
National Provider Identifier
1538510318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 5477
- Practice address
- 42 Waterford Dr
Worcester, MA 01602-3509 - Phone
- (508) 319-1926
- NPI assigned
- Jun 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 5477 | MA | Primary |
| Contact Lens Fitter | 156FC0801X | 5477 | MA | |
| Contact Lens Technician/Technologist | 156FC0800X | 5477 | MA |
Addresses
Primary practice location
42 Waterford Dr
Worcester, MA 01602-3509
Mailing address
42 Waterford Dr
Worcester, MA 01602-3509
Phone (508) 319-1926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D&M Optical & Hearing Aid Corp | Contact Lens | Past | Accepting new patients |
| D&M Optical & Hearing Aid Corp | Optician | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Goral community optician
- Optician
- Worcester, MA
- NPI 1922552157
Contact Lens
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788652800000",
"number": "1538510318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 WATERFORD DR",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023509",
"telephone_number": "508-319-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 WATERFORD DR",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023509",
"telephone_number": "508-319-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMIHOVSKY",
"first_name": "LEONID",
"credential": "RDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-23",
"last_updated": "2026-09-06",
"certification_date": "2026-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "5477",
"primary": true
},
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "MA",
"license": "5477",
"primary": false
},
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": "MA",
"license": "5477",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.