I-Care Family Vision Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

MA4834 Issued in MA

Legal business name

I-CARE FAMILY VISION CENTER, LLC

Practice address

550 Providence Hwy
Walpole, MA 02081-4231

Phone

(508) 668-9090

NPI assigned

Sep 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Qiqi CuiNPI 1104127943

Title

Owner

Phone

(617) 780-2871

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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

• Qiqi Cui, OD

  • Optometrist
  • Walpole, MA
  • NPI 1104127943
  Medicare reassignment NPD Authorized official
• Lucia D'Angelo, OD

  • Optometrist
  • Providence, RI
  • NPI 1699864470
  NPD (past)

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1548718786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARTRIDGE HL",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PROVIDENCE HWY",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020814231",
            "telephone_number": "508-668-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-CARE FAMILY VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "CUI",
        "authorized_official_first_name": "QIQI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-780-2871",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA4834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110088945A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "S300202884",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.