Individual provider Active NPI

Natasha H Siegel, OD

  • Optometrist
  • Lancaster, MA
National Provider Identifier
1710573118
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5450 Issued in MA
Practice address
479 Old Union Tpke
Lancaster, MA 01523-3029
Phone
(978) 537-3900
Fax
(978) 537-6030
NPI assigned
Dec 19, 2020
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009201 NY
Optometrist 152W00000X 5450 MA Primary

Addresses

Primary practice location

479 Old Union Tpke
Lancaster, MA 01523-3029

Mailing address

479 Old Union Tpke
Lancaster, MA 01523-3029
Phone (978) 728-5445

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@dambrosioeyecarelancasterma.compulinkdirect.com Direct D'Ambrosio Eye Care, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211210001050 MA Practitioner - Optometry 1456741263 Reassigns benefits to 1 organization
I20240321002811 NH Practitioner - Optometry 1456741263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass Optometric Associates, PLLCGroup PAC ID 0648362442, 50 clinicians

Practice addresses (Care Compare)

1 Highland Ave
3B
Malden, MA 02148-6603
Phone (781) 321-9039

139 Endicott St
Danvers, MA 01923-4803
Phone (978) 777-4700

346 S Broadway
Suite 28
Salem, NH 03079-4375
Phone (603) 898-8560

700 Boston Rd
Billerica, MA 01821-5316
Phone (978) 667-0481

90 Middlesex Tpke
Burlington, MA 01803-4920
Phone (781) 229-0434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009201NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Jan 3, 2023 Accepting new patients
D'Ambrosio Eye Care, Inc. CurrentSince Sep 8, 2021 Accepting new patients
D'Ambrosio Eye Care, Inc. Optometrist CurrentSince Sep 8, 2021 Accepting new patients
Optometric Providers of New Hampshire, PLLC Optometrist CurrentSince Feb 10, 2024 Accepting new patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Jan 3, 2023 Accepting new patients
Optometric Providers of New Hampshire, PLLC Optometrist CurrentSince Feb 10, 2024 Accepting new patients

Locations

100 Powdermill Rd
Acton, MA 01720
Phone (978) 897-1600

700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481

74 Main St
Gardner, MA 01440
Phone (978) 632-3930

479 Old Union Tpke
Lancaster, MA 01523
Phone (978) 537-3900

273 Loudon Rd
Ste 7
Concord, NH 03301
Phone (603) 224-0418

346 S Broadway
#28
Salem, NH 03079
Phone (603) 898-8560

652 Lafayette Rd
Unit 3
Seabrook, NH 03874
Phone (603) 414-0269

Organizations & group practices 6

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": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1710573118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TPKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233029",
            "telephone_number": "978-728-5445",
            "fax_number": "978-728-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TPKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233029",
            "telephone_number": "978-537-3900",
            "fax_number": "978-537-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "NATASHA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009201",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@dambrosioeyecarelancasterma.compulinkdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "D'Ambrosio Eye Care, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "479 Old Union Tpke",
            "city": "Lancaster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015233029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, MA

Sources for this page

Verify at the official NPI Registry.