Individual provider Active NPI

Arsh Shah, OD

  • Optometrist
  • Lowell, MA
National Provider Identifier
1679201032
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5574 Issued in MA
Practice address
1431 Pawtucket Blvd Unit 12
Lowell, MA 01854-1073
Phone
(978) 761-3488
NPI assigned
Aug 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5574 MA Primary

Addresses

Primary practice location

1431 Pawtucket Blvd Unit 12
Lowell, MA 01854-1073

Mailing address

1431 Pawtucket Blvd Unit 12
Lowell, MA 01854-1073
Phone (978) 761-3488

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
I20221012003544 MA Practitioner - Optometry 2062888266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvard Square Eye Care P.C.Group PAC ID 6002945037, 2 clinicians

Practice addresses (Care Compare)

19 Dunster St
Cambridge, MA 02138-5002
Phone (617) 354-5590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5574MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Square Eye Care P.C. Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Crown Point Eye Care Optometrist Past Accepting new patients

Locations

19 Dunster St
Cambridge, MA 02138
Phone (617) 312-0272

15 Belmont St
Cambridge, MA 02138
Phone (617) 354-5100

198 Elm St
North Cambridge, MA 02140
Phone (617) 628-6800

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1679201032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 PAWTUCKET BLVD UNIT 12",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018541073",
            "telephone_number": "978-761-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 PAWTUCKET BLVD UNIT 12",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018541073",
            "telephone_number": "978-761-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ARSH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.