Active NPI
Agawam Eye Associates, Inc
- Optometrist
- Feeding Hills, MA
National Provider Identifier
1609031046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3134 3119
- Legal business name
- AGAWAM EYE ASSOCIATES, INC
- Practice address
- 656 Springfield St
Feeding Hills, MA 01030-2130 - Phone
- (413) 789-2106
- NPI assigned
- Jul 24, 2008
- Last updated
- Oct 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard W Gallerani, O.D.
- Title
- President
- Phone
- (413) 789-2106
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3134 3119 | MA | Primary |
Addresses
Primary practice location
656 Springfield St
Feeding Hills, MA 01030-2130
Mailing address
656 Springfield St
Feeding Hills, MA 01030-2130
Phone (413) 789-2106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0352683 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
656 Springfield St
Feeding Hills, MA 01030
Phone (413) 789-2106
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Feeding Hills, MA
- NPI 1699753624
-
- Optometrist
- Feeding Hills, MA
- NPI 1639142334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445212800000",
"number": "1609031046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "656 SPRINGFIELD ST",
"city": "FEEDING HILLS",
"state": "MA",
"postal_code": "010302130",
"telephone_number": "413-789-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "656 SPRINGFIELD ST",
"city": "FEEDING HILLS",
"state": "MA",
"postal_code": "010302130",
"telephone_number": "413-789-2106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAWAM EYE ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-24",
"last_updated": "2015-10-19",
"status": "A",
"authorized_official_last_name": "GALLERANI",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "413-789-2106",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3134 3119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0352683",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Feeding Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.