Individual provider Active NPI

Michael A Purdy, OD

  • Optometrist
  • Huntington, MA
National Provider Identifier
1720005283
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4413 Issued in MA
Practice address
73 Russell Rd
Huntington, MA 01050-9777
Phone
(413) 667-3009
NPI assigned
Jul 17, 2006
Last updated
Jul 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4413 MA Primary

Addresses

Primary practice location

73 Russell Rd
Huntington, MA 01050-9777

Mailing address

73 Russell Rd
Huntington, MA 01050-9777
Phone (413) 667-3009

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
I20040909000403 MA Practitioner - Optometry 0840196010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilltown Community Health Centers IncGroup PAC ID 7315830148, shared by 3 NPIs, 22 clinicians

Practice addresses (Care Compare)

58 Old N Rd
Worthington, MA 01098-9753
Phone (413) 238-5511

73 Russell Rd
Huntington, MA 01050-9777
Phone (413) 667-3009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4413MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hilltown Community Health Centers, Inc. CurrentSince Sep 15, 2010 Accepting new patients
Hilltown Community Health Centers, Inc. CurrentSince Sep 15, 2010 Accepting new patients
Jason Wonch, O.D. and Associates, a.P.C. Optometrist Past Accepting new patients

Locations

73 Russell Rd
Huntington, MA 01050
Phone (413) 667-3009

58 Old North Rd
Worthington, MA 01098
Phone (413) 238-5511

Interoperability endpoints

  • Direct secure messaging: mpurdy20577@direct.ctc.masshiway.net

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hilltown Community Health Centers IncHuntington, MA, CCN 221840 Federally qualified health center Corporate Officer Jan 1, 2024
Hilltown Community Health Centers IncAmherst, MA, CCN 221809 Federally qualified health center Corporate Officer Nov 1, 2023
Hilltown Community Health Centers IncWorthington, MA, CCN 221949 Federally qualified health center Corporate Officer Nov 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1720005283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 RUSSELL RD",
            "city": "HUNTINGTON",
            "state": "MA",
            "postal_code": "010509777",
            "telephone_number": "413-667-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 RUSSELL RD",
            "city": "HUNTINGTON",
            "state": "MA",
            "postal_code": "010509777",
            "telephone_number": "413-667-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, MA

Sources for this page

Verify at the official NPI Registry.