Plymouth Family Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PLYMOUTH FAMILY OPTOMETRY LLC

Practice address

212 S Meadow Rd Unit 5C
Plymouth, MA 02360-5450

Phone

(774) 283-4005

Fax

(774) 374-2285

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Ryan Christopher Racette, ODNPI 1669998969

Title

Owner/Optometrist

Phone

(774) 283-4005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Christopher Racette, OD

  • Optometrist
  • Plymouth, MA
  • NPI 1669998969
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1699233155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S MEADOW RD UNIT 5C",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023605450",
            "telephone_number": "774-283-4005",
            "fax_number": "774-374-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MEADOW RD UNIT 5C",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023605450",
            "telephone_number": "774-283-4005",
            "fax_number": "774-374-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH FAMILY OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "RACETTE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "774-283-4005",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.