Individual provider Active NPI

Fatima Garcia-Fedorowicz, O.D.

  • Optometrist
  • Stoughton, MA
National Provider Identifier
1568503472
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3721 Issued in MA
Practice address
84 Pearl St
Stoughton, MA 02072-2350
Phone
(781) 344-4582
Fax
(781) 344-5186
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3721 MA Primary

Addresses

Primary practice location

84 Pearl St
Stoughton, MA 02072-2350

Mailing address

84 Pearl St
Stoughton, MA 02072-2350
Phone (781) 344-4582

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140929002510 MA Practitioner - Optometry 7214157007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Eye Health IncGroup PAC ID 4082696976, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

1030 President Ave
Fall River, MA 02720-5928
Phone (508) 676-3411

Center for Eye Health Inc
1030 President Ave
Fall River, MA 02720-5923

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
99.75
Improvement activities
40
Cost
77.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3721MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Eye Health Inc CurrentSince Jan 1, 2015 Accepting new patients
Center for Eye Health Inc Optometrist CurrentSince Jan 1, 2015 Accepting new patients

Locations

1 Pearl St
Ste 1100
Brockton, MA 02301
Phone (508) 584-2100

1030 President Ave
Fall River, MA 02720
Phone (508) 235-6427

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568503472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 PEARL ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722350",
            "telephone_number": "781-344-4582",
            "fax_number": "781-344-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 PEARL ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722350",
            "telephone_number": "781-344-4582",
            "fax_number": "781-344-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-FEDOROWICZ",
        "first_name": "FATIMA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

Verify at the official NPI Registry.