Organization Active NPI

Karen Neckers OD

  • Optometrist
  • Peabody, MA
National Provider Identifier
1689014581
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3667 Issued in MA
Legal business name
KAREN NECKERS OD
Practice address
210 Andover St
Macys Lenscrafters
Peabody, MA 01960-1647
Phone
(978) 532-0216
NPI assigned
Jun 25, 2013
Last updated
Jan 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Karen Neckers, ODNPI 1700858875
Title
Owner
Phone
(978) 535-9604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3667 MA Primary

Addresses

Primary practice location

210 Andover St
Macys Lenscrafters
Peabody, MA 01960-1647

Mailing address

12 Elizabeth LN
Peabody, MA 01960-2004
Phone (978) 535-9604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140728000162 MA Part B Supplier - Clinic/Group Practice 0345466462 Receives reassigned benefits from 2 practitioners
Practice locations: Peabody, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1689014581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELIZABETH LN",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602004",
            "telephone_number": "978-535-9604",
            "fax_number": "978-535-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ANDOVER ST",
            "address_2": "MACYS LENSCRAFTERS",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601647",
            "telephone_number": "978-532-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN NECKERS OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "NECKERS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-535-9604",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.