Individual provider Active NPI

Ilana Orelowitz, OD

  • Optometrist
  • Medfield, MA
National Provider Identifier
1669457933
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4221 Issued in MA
Practice address
55 North St
Medfield, MA 02052-2308
Phone
(508) 359-9969
Fax
(508) 359-4255
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4221 MA Primary

Addresses

Primary practice location

55 North St
Medfield, MA 02052-2308

Mailing address

55 North St
Medfield, MA 02052-2308
Phone (508) 359-9969

Other identifiers 7

IdentifierTypeStateIssuer
AA6001OtherHARVARD PILGRIM
2201223OtherUNITED HEALTH
67835OtherFALLON
ORW16327OtherBCBS
404940OtherTUFTS
6242662002OtherCIGNA
3368255OtherAETNA

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
I20040311000694 MA Practitioner - Optometry 8820987696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

67 W St
Medfield, MA 02052-1577
Phone (508) 359-9969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4221MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ilana Orelowitz, O.D. Inc Optometrist CurrentSince Aug 1, 2006 Accepting new patients
Medfield Eye Care Past Accepting new patients

Locations

67 West St
Medfield, MA 02052
Phone (508) 359-2025

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669457933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NORTH ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522308",
            "telephone_number": "508-359-9969",
            "fax_number": "508-359-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NORTH ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522308",
            "telephone_number": "508-359-9969",
            "fax_number": "508-359-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORELOWITZ",
        "first_name": "ILANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA6001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "2201223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "67835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "ORW16327",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "404940",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6242662002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3368255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medfield, MA

Sources for this page

Verify at the official NPI Registry.