Individual provider Active NPI

Dennis M Dorans, OD

  • Optometrist
  • Palmer, MA
National Provider Identifier
1699776773
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3344 Issued in MA
Practice address
1504 N Main St
Palmer, MA 01069-1215
Phone
(413) 283-3511
Fax
(413) 283-5396
NPI assigned
Aug 10, 2005
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3344 MA Primary

Addresses

Primary practice location

1504 N Main St
Palmer, MA 01069-1215

Mailing address

1504 N Main St
Palmer, MA 01069-1215
Phone (413) 283-3511

Other identifiers 12

IdentifierTypeStateIssuer
2616968OtherAETNA
W16079OtherBCBS
000000020721OtherHEALTHNET
2117490OtherFIRST HEALTH
350274OtherCMHC
4870600-002OtherCIGNA
982182OtherNETWORK HEALTH
MA1270OtherEYEMED
0353736MedicaidMA
334400OtherCONNECTICARE
152675OtherHARVARD PILGRIM
39707OtherDAVIS VISION

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080220000079 MA Practitioner - Optometry 7214011956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Kelly and Velazquez Eye Center PCGroup PAC ID 3274603915, 4 clinicians

Practice addresses (Care Compare)

1504 N Main St
Palmer, MA 01069-1215
Phone (413) 283-3511

Merit-based Incentive Payment System (MIPS)

Final score
91.04 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
73.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly and Velazquez Eye Center PC CurrentSince Sep 8, 1987 Accepting new patients
Kelly and Velazquez Eye Center PC Past Accepting new patients

Locations

362 Sewall St
Ludlow, MA 01056
Phone (413) 589-7308

1504 N Main St
Palmer, MA 01069
Phone (413) 283-3511

1504 N Main St
#188
Palmer, MA 01069

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1699776773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 N MAIN ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691215",
            "telephone_number": "413-283-3511",
            "fax_number": "413-283-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N MAIN ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691215",
            "telephone_number": "413-283-3511",
            "fax_number": "413-283-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORANS",
        "first_name": "DENNIS",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2616968",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W16079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "000000020721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2117490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMHC",
            "identifier": "350274",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4870600-002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "982182",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MA1270",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353736",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "334400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "152675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "39707",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, MA

Sources for this page

Verify at the official NPI Registry.