Andria Demosthenous, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT5660 Issued in MA

Practice address

250 Northampton St Ste a
Easthampton, MA 01027-1198

Phone

(413) 527-9284

Fax

(413) 527-8181

NPI assigned

Apr 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morin Eye Care PCGroup PAC ID 6406249770, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Morin Eye Care, P.C.

  • Optometrist
  • South Hadley, MA
  • NPI 1700540705
  Medicare reassignment Care Compare group NPD
• Eric David Dostal O.D. LLC

  • Optometrist
  • Easthampton, MA
  • NPI 1417091059
  Medicare reassignment NPD
• Dr David Gill & Associates, LLC

  • Optometrist
  • Dublin, OH
  • NPI 1891949582
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1558629923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTHAMPTON ST STE A",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271198",
            "telephone_number": "413-527-9284",
            "fax_number": "413-527-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NORTHAMPTON ST STE A",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271198",
            "telephone_number": "413-527-9284",
            "fax_number": "413-527-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOSTHENOUS",
        "first_name": "ANDRIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rose Darrow
• Tracy Lee Davis
• Alexa Lynn Dearden, PHARMD
• Erica Mi Deblase, LICSW
• Jacqueline Deiana
• Moreno Denisha Moreno
• Renee Marie Desmarais, LMHC
• Christa Desroches
• Diane M Debenedetto
• Stephanie Dimichele

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.