NPIMap

Individual provider Active NPI

Laura A Vasilakos, O.D.

  • Optometrist
  • Duxbury, MA
National Provider Identifier
1699868778
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4553 Issued in MA
Practice address
27 Railroad Ave
Suite 1
Duxbury, MA 02332-3877
Phone
(781) 934-6945
Fax
(781) 934-1351
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4553 MA Primary

Addresses

Primary practice location

27 Railroad Ave
Suite 1
Duxbury, MA 02332-3877

Mailing address

27 Railroad Ave
Suite 1
Duxbury, MA 02332-3877
Phone (781) 934-6945

Other identifiers 3

IdentifierTypeStateIssuer
W16466OtherMABC/BS
4553OtherMAMA OPTOMETRY LICENSE
MV0616005MOtherMACONTROLLED SUBSTANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Solutions LLC Current Accepting new patients
Gordon a Price OD PC Optometrist PastSince Aug 11, 2015 Accepting new patients
Duxbury Vision PC Optometrist Past Accepting new patients
Jessica Crooker, O.D., PLLC Optometrist PastSince Nov 28, 2016 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1699868778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 RAILROAD AVE",
            "address_2": "SUITE 1",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023323877",
            "telephone_number": "781-934-6945",
            "fax_number": "781-934-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 RAILROAD AVE",
            "address_2": "SUITE 1",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023323877",
            "telephone_number": "781-934-6945",
            "fax_number": "781-934-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILAKOS",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "W16466",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA OPTOMETRY LICENSE",
            "identifier": "4553",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "MV0616005M",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.