Elliott Eye Doctors and the Optical Shoppe PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELLIOTT EYE DOCTORS AND THE OPTICAL SHOPPE PC

Practice address

25 Mechanic St
Foxboro, MA 02035-2011

Phone

(508) 543-4840

Fax

(508) 698-1013

NPI assigned

Mar 15, 2016

Organization subpart

No

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

Authorized official

Name

Makenzie Elliott, OD

Title

OD

Phone

(508) 543-4840

Specialties & licenses 1

Addresses

Other names 1

• Optical Shoppe PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy J Catalano, O.D.

  • Optometrist
  • Canton, MA
  • NPI 1164456729
  Medicare reassignment Care Compare group NPD
• Jordan Davidner, OD

  • Optometrist
  • Boston, MA
  • NPI 1609304484
  Medicare reassignment Care Compare group
• Makenzie Katherine Elliott Massenburg, O.D.

  • Optometrist
  • Foxboro, MA
  • NPI 1972912251
  Medicare reassignment Care Compare group
• Paul William Elliott, OD

  • Optometrist
  • Foxboro, MA
  • NPI 1497713903
  Medicare reassignment Care Compare group
• Mikaela Rosa Simon, OD

  • Optometrist
  • Norton, MA
  • NPI 1518566793
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1609237940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MECHANIC ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352011",
            "telephone_number": "508-543-4840",
            "fax_number": "508-698-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MECHANIC ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352011",
            "telephone_number": "508-543-4840",
            "fax_number": "508-698-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT EYE DOCTORS AND THE OPTICAL SHOPPE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "MAKENZIE",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "508-543-4840",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Shoppe PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emma Dowd, MA, CF-SLP
• Darren Drag, D.M.D.
• Deborah Druar, LICSW
• Allison Jane Dugan, RN
• Mark S Elfman, DC
• Makenzie Katherine Elliott Massenburg, O.D.
• Paul William Elliott, OD
• Carrie Essex, CPNP
• Executive Staffers Inc.
• Maria Fabiano, DPT

• Optometrist in Foxboro, MA
• Providers in Foxboro, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.

Verify at the official NPI Registry.