Individual provider Active NPI

Ara Barsamian, O.D.

  • Optometrist
  • Marlborough, MA
National Provider Identifier
1659479343
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3717 Issued in MA
Practice address
103 Main St
Marlborough, MA 01752-3803
Phone
(508) 481-4900
Fax
(508) 481-3244
NPI assigned
Sep 20, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3717 MA Primary

Addresses

Primary practice location

103 Main St
Marlborough, MA 01752-3803

Mailing address

103 Main St
Marlborough, MA 01752-3803
Phone (508) 481-4900

Other identifiers 1

IdentifierTypeStateIssuer
0369616MedicaidMA

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
I20120608000313 MA Practitioner - Optometry 0547382541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Massachusetts Professional PCGroup PAC ID 6901282557, 44 clinicians
Vision AssociatesGroup PAC ID 7911028345, 4 clinicians

Practice addresses (Care Compare)

103 Main St
Marlborough, MA 01752-3803
Phone (508) 481-4900

15 Central St
Andover, MA 01810-3718
Phone (978) 475-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3717MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Associates Optometrist CurrentSince Apr 9, 2012 Accepting new patients

Locations

103 Main St
Marlborough, MA 01752
Phone (508) 481-4900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1659479343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MAIN ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523803",
            "telephone_number": "508-481-4900",
            "fax_number": "508-481-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAIN ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523803",
            "telephone_number": "508-481-4900",
            "fax_number": "508-481-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSAMIAN",
        "first_name": "ARA",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0369616",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.