Marc H. Dodson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3054 Issued in MA

Practice address

51 State Rd
North Dartmouth, MA 02747-3319

Phone

(508) 994-1400

Fax

(508) 910-2212

NPI assigned

Sep 30, 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 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1699762138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 STATE RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027473319",
            "telephone_number": "508-994-1400",
            "fax_number": "508-910-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 STATE RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027473319",
            "telephone_number": "508-994-1400",
            "fax_number": "508-910-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "MARC",
        "middle_name": "H.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353043",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S OF MASS",
            "identifier": "W16157",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary R Dias-Regus, NP
• Kathy M Dietlin, MD
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• Shantelle M Docarmo, PHARM. D.
• Ami Nicole Donahue
• John Dorn, PSY.D.
• Richard Sartori Dowd, M.D.
• Noah Duarte
• Meaghan A Dugan, AUD, CCC-A

• Optometrist in North Dartmouth, MA
• Providers in North Dartmouth, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.