Individual provider Active NPI

Kate E Marmelo, O.D.

  • Corneal and Contact Management Optometrist
  • North Dartmouth, MA
National Provider Identifier
1598764342
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
4444 Issued in MA
Practice address
83 Faunce Corner Mall Rd Ste B
North Dartmouth, MA 02747-6222
Phone
(508) 997-6591
Fax
(508) 994-9175
NPI assigned
Jul 14, 2005
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 4444 MA Primary

Addresses

Primary practice location

83 Faunce Corner Mall Rd Ste B
North Dartmouth, MA 02747-6222

Mailing address

5 Tinkham LN
Mattapoisett, MA 02739-1012

Other practice location 1

20 Commerce Way
Seekonk, MA 02771-5823
Phone (508) 336-7040

Other practice location 2

5 tinkham lane
mattapoisett, MA 02739
Phone (508) 997-6591

Other identifiers 1

IdentifierTypeStateIssuer
0706604MedicaidMA

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
I20050201000858 MA Practitioner - Optometry 0143271700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Kem Optical PCGroup PAC ID 1557587946, 3 clinicians

Practice addresses (Care Compare)

83 Faunce Corner Rd
B
North Dartmouth, MA 02747-1210
Phone (508) 997-6591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4444MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kem Optical P.C. CurrentSince Jun 1, 2014 Accepting new patients

Locations

83 Faunce Corner Rd
#B
North Dartmouth, MA 02747
Phone (508) 287-2220

83 Faunce Corner Mall Rd
Ste B
North Dartmouth, MA 02747
Phone (508) 997-6591

20 Commerce Way
Seekonk, MA 02771
Phone (508) 336-6700

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, 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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1598764342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TINKHAM LN",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 FAUNCE CORNER MALL RD STE B",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027476222",
            "telephone_number": "508-997-6591",
            "fax_number": "508-994-9175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Commerce Way",
            "address_purpose": "LOCATION",
            "city": "Seekonk",
            "state": "MA",
            "postal_code": "027715823",
            "country_code": "US",
            "telephone_number": "508-336-7040",
            "fax_number": "508-336-7044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 tinkham lane",
            "address_purpose": "LOCATION",
            "city": "mattapoisett",
            "state": "MA",
            "postal_code": "02739",
            "country_code": "US",
            "telephone_number": "508-997-6591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARMELO",
        "first_name": "KATE",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "4444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0706604",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.