NPIMap

Organization Active NPI

Rsa Optical LLC

  • Optometrist
  • Chelmsford, MA
National Provider Identifier
1609245356
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4157 Issued in MA
Legal business name
RSA OPTICAL LLC
Practice address
11 Summer St
Chelmsford, MA 01824-3064
Phone
(978) 256-5731
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Dr. Anupama Sehgal, ODNPI 1730248261
Title
Owner
Phone
(508) 904-0023

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4157 MA Primary

Addresses

Primary practice location

11 Summer St
Chelmsford, MA 01824-3064

Mailing address

9 Red Gate LN
Southborough, MA 01772-1440
Phone (508) 904-0023

Other names 1

  • CHELMSFORD OPTOMETRIC ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160209001696 MA Part B Supplier - Clinic/Group Practice 5597069708 Receives reassigned benefits from 3 practitioners
Practice locations: Chelmsford, MA

National Provider Directory

National Provider Directory

Locations

11 Summer St
Ste 1
Chelmsford, MA 01824
Phone (978) 256-5731

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1609245356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RED GATE LN",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721440",
            "telephone_number": "508-904-0023",
            "fax_number": "508-485-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SUMMER ST",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243064",
            "telephone_number": "978-256-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSA OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "SEHGAL",
        "authorized_official_first_name": "ANUPAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-904-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHELMSFORD OPTOMETRIC ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.