Organization Active NPI

Western Mass Eye Care Inc

Doing business as Western Mass Eye Care and Eyewear Gallery

  • Optometrist
  • Westfield, MA
National Provider Identifier
1568125086
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WESTERN MASS EYE CARE INC
Doing business as
Western Mass Eye Care and Eyewear Gallery
Practice address
53 Court St Ste 1
Westfield, MA 01085-3552
Phone
(413) 264-0600
Fax
(413) 264-0302
NPI assigned
Oct 21, 2021
Last updated
Mar 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Dr. Amy Camerota Moltenbrey, OD
Title
Optometrist/President
Phone
(413) 537-1056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

53 Court St Ste 1
Westfield, MA 01085-3552

Mailing address

44 Camelot LN
Westfield, MA 01085-5406
Phone (413) 537-1056

Other names 1

  • Western Mass Eye Care and Eyewear Gallery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220322002204 MA Part B Supplier - Clinic/Group Practice 3870988280 Receives reassigned benefits from 1 practitioner
Practice locations: Westfield, MA

National Provider Directory

National Provider Directory

Locations

53 Court St
Westfield, MA 01085
Phone (413) 562-1112

53 Court St
Ste 1
Westfield, MA 01085
Phone (413) 264-0600

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.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1568125086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CAMELOT LN",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010855406",
            "telephone_number": "413-537-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 COURT ST STE 1",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853552",
            "telephone_number": "413-264-0600",
            "fax_number": "413-264-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MASS EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "MOLTENBREY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "CAMEROTA",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "413-537-1056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Mass Eye Care and Eyewear Gallery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Mass Eye Care and Eyewear Gallery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.