Individual provider Active NPI

Ashley May Walecka, OD

  • Optometrist
  • Brockton, MA
National Provider Identifier
1598367666
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5441 Issued in MA
Practice address
1 Pearl St Ste 1100
Brockton, MA 02301-2874
Phone
(508) 584-2100
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5441 MA Primary

Addresses

Primary practice location

1 Pearl St Ste 1100
Brockton, MA 02301-2874

Mailing address

1 Pearl St Ste 1100
Brockton, MA 02301-2874
Phone (508) 584-2100

Other practice location 1

1030 President Ave Rm 202
Fall River, MA 02720-5923
Phone (508) 676-3411

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
I20210105000981 MA Practitioner - Optometry 0244643500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
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)

1 Pearl St
Suite 1100
Brockton, MA 02301-2874
Phone (508) 584-2100

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

Center for Eye Health Inc
1 Pearl St Suite 1100
Brockton, MA 02301-2869

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
5441MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Eye Health Inc Optometrist CurrentSince Nov 15, 2020 Accepting new patients
Center for Eye Health Inc CurrentSince Nov 15, 2020 Accepting new patients

Locations

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

1030 President Ave
Rm 202
Fall River, MA 02720
Phone (508) 235-6702

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

Interoperability endpoints

  • Direct secure messaging: ashley.walecka.p1@direct.centerforeyehealth.nextgenshare.com

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1598367666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PEARL ST STE 1100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012874",
            "telephone_number": "508-584-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PEARL ST STE 1100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012874",
            "telephone_number": "508-584-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 President Ave Rm 202",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027205923",
            "country_code": "US",
            "telephone_number": "508-676-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALECKA",
        "first_name": "ASHLEY",
        "middle_name": "MAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.