Individual provider Active NPI

Nyssa A D'Hedouville, O.D.

  • Optometrist
  • Mashpee, MA
National Provider Identifier
1588777072
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT4512 Issued in MA
Practice address
681 Falmouth Rd Uppr Level
Mashpee, MA 02649-3327
Phone
(508) 477-1802
Fax
(508) 539-3713
NPI assigned
Aug 17, 2006
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG663 RI
Optometrist 152W00000X OPT4512 MA Primary
Optometrist 152W00000X OEG001729 PA

Addresses

Primary practice location

681 Falmouth Rd Uppr Level
Mashpee, MA 02649-3327

Mailing address

681 Falmouth Rd Uppr Level
Mashpee, MA 02649-3327
Phone (508) 477-1802

Other names 1

  • Dr. Nyssa A Ferrazzara Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110125000020 MA Practitioner - Optometry 9739368614 Reassigns benefits to 1 organization
I20180808003212 RI Practitioner - Optometry 9739368614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nyssa . a. D'Hedouville OD LLCGroup PAC ID 1658601505, 2 clinicians

Practice addresses (Care Compare)

681 Falmouth Rd
Mashpee, MA 02649-3327
Phone (508) 477-1802

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001729PAMDOptometrist
ODTG663RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nyssa . a. D'Hedouville OD LLC Optometrist CurrentSince Jul 22, 1970 Accepting new patients
20/20 Vision Care, Inc. Optometrist CurrentSince Jul 17, 2018 Accepting new patients
Gosnold, Inc. PastSince Dec 28, 1999 Accepting new patients

Locations

681 Falmouth Rd
Mashpee, MA 02649
Phone (508) 419-4320

681 Falmouth Rd
Ste B25
Mashpee, MA 02649
Phone (508) 477-1802

681 Falmouth Rd
Uppr
Mashpee, MA 02649
Phone (508) 477-1802

375 Metacom Ave
Bristol, RI 02809
Phone (401) 253-2020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1588777072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 FALMOUTH RD UPPR LEVEL",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493327",
            "telephone_number": "508-477-1802",
            "fax_number": "508-539-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 FALMOUTH RD UPPR LEVEL",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493327",
            "telephone_number": "508-477-1802",
            "fax_number": "508-539-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'HEDOUVILLE",
        "first_name": "NYSSA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG663",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT4512",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NYSSA",
            "last_name": "FERRAZZARA",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.