Individual provider Active NPI

Sherry L Audycki, OD

  • Optometrist
  • N Dartmouth, MA
National Provider Identifier
1679559108
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4182 Issued in MA
Practice address
535 Faunce Corner Rd
Optomeyes Health,PC
N Dartmouth, MA 02747-1242
Phone
(774) 202-6888
Fax
(774) 992-0188
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4182 MA Primary
Optometrist 152W00000X ODTA00544 RI

Addresses

Primary practice location

535 Faunce Corner Rd
Optomeyes Health,PC
N Dartmouth, MA 02747-1242

Mailing address

128 Rockland St
Dartmouth, MA 02748-2363
Phone (508) 993-3111

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
I20061023000148 MA Practitioner - Optometry 4385641018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Massachusetts Professional PCGroup PAC ID 6901282557, 44 clinicians

Practice addresses (Care Compare)

535 A Faunce Corner Rd
North Dartmouth, MA 02747-1242
Phone (978) 475-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4182MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Centers Inc Optometrist CurrentSince Aug 1, 2006 Accepting new patients
Aeg Massachusetts Professional PC Optometrist CurrentSince Sep 7, 2022 Accepting new patients

Locations

15 Central St
Andover, MA 01810
Phone (978) 475-1230

535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0665

500 Faunce Corner Rd
Ste 110
North Dartmouth, MA 02747
Phone (508) 717-0270

535 Faunce Corner Rd
#A
North Dartmouth, MA 02747
Phone (978) 475-5252

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1679559108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ROCKLAND ST",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027482363",
            "telephone_number": "508-993-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FAUNCE CORNER RD",
            "address_2": "OPTOMEYES HEALTH,PC",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "774-202-6888",
            "fax_number": "774-992-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDYCKI",
        "first_name": "SHERRY",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4182",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA00544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.