Robert A Audycki, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

4134 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

Jul 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aeg Massachusetts Professional PC

  • Optometrist
  • Andover, MA
  • NPI 1952035040
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1689673428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ROCKLAND ST",
            "city": "SOUTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027482363",
            "telephone_number": "774-202-6888",
            "fax_number": "774-992-0188"
        },
        {
            "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": "ROBERT",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "4134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0317497",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert Fox Facial Plastic Surgery Center
• Alpha Dental Center of Dartmouth, LLC
• Eugene Peter Antonell, BC-HIS
• Denise Archambault, LICSW
• Kathryn M Arruda, O.D.
• Sherry L Audycki, OD
• Kayla B Baker, O.D.
• Deborah Sears Bastoni, LMHC
• Karmina Bautista, MD
• Susan Marie Benedek, LAC, MAOM, RN

• Corneal and Contact Management Optometrist in N Dartmouth, MA
• Providers in N Dartmouth, MA by specialty
• Corneal and Contact Management Optometrist in Massachusetts

• 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.

Verify at the official NPI Registry.