Individual provider Active NPI

Spencer E Traxler, OD

  • Optometrist
  • Newburyport, MA
National Provider Identifier
1700400157
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00000 Issued in MA
Practice address
33 Low St
Newburyport, MA 01950-4114
Phone
(978) 462-2020
Fax
(978) 462-4263
NPI assigned
Jun 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 00000 MA Primary
Optometrist 152W00000X 117721 IA

Addresses

Primary practice location

33 Low St
Newburyport, MA 01950-4114

Mailing address

33 Low St
Newburyport, MA 01950-4114
Phone (978) 462-2020

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
I20200917001380 MA Practitioner - Optometry 7719305135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watts Eye Associates LLCGroup PAC ID 1557576881, 4 clinicians

Practice addresses (Care Compare)

33 Low St
Newburyport, MA 01950-4114
Phone (978) 464-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00000MAMDDentist
117721IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Watts Eye Associates LLC Optometrist CurrentSince Aug 6, 2020 Accepting new patients

Locations

33 Low St
Newburyport, MA 01950
Phone (978) 462-2020

Organizations & group practices 1

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": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1700400157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LOW ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504114",
            "telephone_number": "978-462-2020",
            "fax_number": "978-462-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LOW ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504114",
            "telephone_number": "978-462-2020",
            "fax_number": "978-462-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAXLER",
        "first_name": "SPENCER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "00000",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "117721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.