Active NPI
Salvatore N Imperato, HEARING INSTRUMENT S
- Optician
- South Barre, MA
National Provider Identifier
1619007333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 4043
- Practice address
- 395 Main Street South
South Barre, MA 01074 - Phone
- (978) 355-2191
- Fax
- (978) 355-2020
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | 4043 | MA | |
| Optician | 156FX1800X | 4043 | MA | Primary |
| Specialist | 174400000X | 0034 | MA | |
| Other Technician | 247200000X | 0034 | MA |
Addresses
Primary practice location
395 Main Street South
South Barre, MA 01074
Mailing address
395 Main Street South
PO Box 78
South Barre, MA 01074
Phone (978) 355-2191
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110028800B | Other | MA | MASSHEALTH |
| 45806 | Other | MA | FALLON |
| 1537903 | Medicaid | MA | |
| 95162501 | Other | MA | NETWORKHEALTH |
| 110028800A | Other | MA | MASSHEALTH HEARING |
| OP2873 | Other | MA | EYEMED |
| BAROPT123 | Other | MA | UNICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barre Opticians and Hearing Aid Center | Past | Accepting new patients | |
| Barre Opticians Inc. | Contact Lens | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing Aid Equipment
- Barre Plains, MA
- NPI 1255685616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1619007333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 MAIN STREET SOUTH",
"address_2": "PO BOX 78",
"city": "SOUTH BARRE",
"state": "MA",
"postal_code": "01074",
"telephone_number": "978-355-2191",
"fax_number": "978-355-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 MAIN STREET SOUTH",
"city": "SOUTH BARRE",
"state": "MA",
"postal_code": "01074",
"telephone_number": "978-355-2191",
"fax_number": "978-355-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMPERATO",
"first_name": "SALVATORE",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "HEARING INSTRUMENT S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": "MA",
"license": "4043",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "4043",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "0034",
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MA",
"license": "0034",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "110028800B",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "45806",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1537903",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORKHEALTH",
"identifier": "95162501",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH HEARING",
"identifier": "110028800A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "OP2873",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "BAROPT123",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Barre, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.