Active NPI
Karen Neckers, OD
- Optometrist
- Peabody, MA
National Provider Identifier
1700858875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3667
- Practice address
- 210 Andover St
Macys Lenscrafters
Peabody, MA 01960 - Phone
- (978) 532-0216
- NPI assigned
- Feb 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3667 | MA | Primary |
Addresses
Primary practice location
210 Andover St
Macys Lenscrafters
Peabody, MA 01960
Mailing address
12 Elizabeth LN
Peabody, MA 01960-2004
Phone (978) 535-9604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W16213 | Other | MA | BLUECROSS BLUESHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
210 Andover St
Peabody, MA 01960-1647
Phone (978) 532-0301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Neckers OD | Optometrist | Current | Accepting new patients |
Locations
210 Andover St
Peabody, MA 01960
Phone (978) 278-7400
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.
-
- Optometrist
- Peabody, MA
- NPI 1689014581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1700858875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 ELIZABETH LN",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602004",
"telephone_number": "978-535-9604",
"fax_number": "978-535-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 ANDOVER ST",
"address_2": "MACYS LENSCRAFTERS",
"city": "PEABODY",
"state": "MA",
"postal_code": "01960",
"telephone_number": "978-532-0216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NECKERS",
"first_name": "KAREN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "W16213",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.