Active NPI
Hendrik Krosschell OD LLC
- Corneal and Contact Management Optometrist
- Attleboro, MA
National Provider Identifier
1558631960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 2923
- Legal business name
- HENDRIK KROSSCHELL OD LLC
- Practice address
- 734 Newport Ave
Unit 4
Attleboro, MA 02703-5935 - Phone
- (508) 761-6100
- Fax
- (508) 761-5500
- NPI assigned
- Jan 3, 2012
- Last updated
- Jan 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hendrik Krosschell III, O.D.
- Title
- Owner
- Phone
- (508) 761-6100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 2923 | MA | Primary |
Addresses
Primary practice location
734 Newport Ave
Unit 4
Attleboro, MA 02703-5935
Mailing address
734 Newport Ave
Unit 4
Attleboro, MA 02703-5935
Phone (508) 761-6100
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006046 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 0351288 | Medicaid | MA | |
| 152151 | Other | HARVARD PILGRIM HEALTH CARE | |
| 7901678 | Other | AETNA | |
| 2202005 | Other | UNITED HEALTHCARE | |
| W15565 | Other | BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS | |
| 401061 | Other | BLUE CHP OF RHODE ISLAND | |
| 2202005 | Other | AARP / MEDICARE COMPLETE | |
| 220358 | Other | RHODE ISLAND BCBS | |
| 2434507 | Other | AETNA/US HEALTHCARE | |
| 32222 | Other | BMC HEALTHNET PLAN |
National Provider Directory
National Provider DirectoryLocations
734 Newport Ave
Unit 4
Attleboro, MA 02703
Phone (508) 761-6100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Attleboro, MA
- NPI 1093754418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325548800000",
"number": "1558631960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "734 NEWPORT AVE",
"address_2": "UNIT 4",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027035935",
"telephone_number": "508-761-6100",
"fax_number": "508-761-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "734 NEWPORT AVE",
"address_2": "UNIT 4",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027035935",
"telephone_number": "508-761-6100",
"fax_number": "508-761-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDRIK KROSSCHELL OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A",
"authorized_official_last_name": "KROSSCHELL",
"authorized_official_first_name": "HENDRIK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-761-6100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MA",
"license": "2923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0006046",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0351288",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CARE",
"identifier": "152151",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7901678",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2202005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS",
"identifier": "W15565",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHP OF RHODE ISLAND",
"identifier": "401061",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP / MEDICARE COMPLETE",
"identifier": "2202005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RHODE ISLAND BCBS",
"identifier": "220358",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "2434507",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET PLAN",
"identifier": "32222",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.