Active NPI
Philip Michael Arsenault, O.D.
- Optometrist
- Braintree, MA
National Provider Identifier
1619906591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MA4347
- Practice address
- 250 Granite St
Suite Number 2069
Braintree, MA 02184-2804 - Phone
- (781) 849-9944
- Fax
- (781) 848-1023
- NPI assigned
- Jul 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | MA4347 | MA | Primary |
Addresses
Primary practice location
250 Granite St
Suite Number 2069
Braintree, MA 02184-2804
Mailing address
71 Thayer Ave
West Bridgewater, MA 02379-1328
Phone (508) 559-8764
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0324981 | Medicaid | MA | |
| 469480 | Other | MA | TUFTS HEALTH PLAN |
| 7313791 | Other | MA | CIGNA |
| AA10463 | Other | MA | HARVARD PILGRIM |
| MA4347 | Other | MA | EYEMED VISION PLAN |
| W16387 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0034365 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 3500892 | Other | MA | AETNA |
| 5495618 | Other | MA | FIRST HEALTH |
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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Granite St
Suite 2069
Braintree, MA 02184-2804
Phone (781) 849-9944
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA4347 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braintree Eye Associates, PC | Optometrist | Current | Accepting new patients |
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
- Braintree, MA
- NPI 1881718658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619906591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 THAYER AVE",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791328",
"telephone_number": "508-559-8764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 GRANITE ST",
"address_2": "SUITE NUMBER 2069",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021842804",
"telephone_number": "781-849-9944",
"fax_number": "781-848-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARSENAULT",
"first_name": "PHILIP",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "MA4347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0324981",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "469480",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7313791",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA10463",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED VISION PLAN",
"identifier": "MA4347",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W16387",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0034365",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3500892",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5495618",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.