Individual provider Active NPI

Angela Tchao, OD

  • Optometrist
  • Braintree, MA
National Provider Identifier
1578054730
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5291 Issued in MA
Practice address
340 Wood Rd
Braintree, MA 02184
Phone
(781) 794-2200
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 5291 MA Primary

Addresses

Primary practice location

340 Wood Rd
Braintree, MA 02184

Mailing address

1205 Hancock St Apt 806
Quincy, MA 02169-4357
Phone (360) 961-9650

Other practice location 1

1205 Hancock St Apt 806
Quincy, MA 02169-4357
Phone (360) 961-9650

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
I20180824000159 MA Practitioner - Optometry 2769731744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tchao Eye Associates LLCGroup PAC ID 4587004007, 2 clinicians

Practice addresses (Care Compare)

340 Wood Rd
Suite 2020
Braintree, MA 02184-2404
Phone (781) 794-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5291MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tchao Eye Associates LLC Optometrist CurrentSince Mar 18, 2024 Accepting new patients

Locations

340 Wood Rd
Braintree, MA 02184
Phone (781) 356-0668

340 Wood Rd
Ste 2020
Braintree, MA 02184
Phone (781) 794-2200

Organizations & group practices 1

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1578054730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 HANCOCK ST APT 806",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694357",
            "telephone_number": "360-961-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WOOD RD",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "02184",
            "telephone_number": "781-794-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Hancock St Apt 806",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021694357",
            "country_code": "US",
            "telephone_number": "360-961-9650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TCHAO",
        "first_name": "ANGELA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.