Individual provider Active NPI

Suzanne M Ward, OD

  • Optometrist
  • North Reading, MA
National Provider Identifier
1659344216
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3666 Issued in MA
Practice address
162 Park St
Suite 201
North Reading, MA 01864-2346
Phone
(978) 276-1111
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3666 MA Primary

Addresses

Primary practice location

162 Park St
Suite 201
North Reading, MA 01864-2346

Mailing address

162 Park St
Suite 201
North Reading, MA 01864-2346
Phone (978) 276-1111

Other identifiers 1

IdentifierTypeStateIssuer
W16226OtherMABLUE CROSS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000949 MA Practitioner - Optometry 7517855927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Jimmerson EyecareGroup PAC ID 9133482912, 2 clinicians

Practice addresses (Care Compare)

162 Park St
Suite 201
North Reading, MA 01864-2346
Phone (978) 276-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3666MDMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jimmerson Eyecare Optometrist CurrentSince Dec 26, 2018 Accepting new patients
Massachusetts Institute of Technology Past Accepting new patients

Locations

162 Park St
Ste 201
North Reading, MA 01864
Phone (978) 276-1111

162 Park St
North Reading, MA 01864

Interoperability endpoints

  • Direct secure messaging: direct@northreadingcentereyecarenorthreadingma.compulinkdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1659344216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 PARK ST",
            "address_2": "SUITE 201",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018642346",
            "telephone_number": "978-276-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 PARK ST",
            "address_2": "SUITE 201",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018642346",
            "telephone_number": "978-276-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "W16226",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Reading, MA

Sources for this page

Verify at the official NPI Registry.