Active NPI
Kate E Marmelo, O.D.
- Corneal and Contact Management Optometrist
- North Dartmouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 4444
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0706604 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4444 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kem Optical P.C. | Current | 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.
-
- Optometrist
- North Dartmouth, MA
- NPI 1205137247
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.