Active NPI
Sherry L Audycki, OD
- Optometrist
- N Dartmouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4182
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4182 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eye Centers Inc | Optometrist | Current | Accepting new patients |
| Aeg Massachusetts Professional PC | Optometrist | Current | 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.
-
- Optometrist
- Andover, MA
- NPI 1952035040
-
- Optometrist
- N Dartmouth, MA
- NPI 1740231323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.