Michael A Purdy, OD
Individual provider Active NPI Optometrist · Huntington, MA
NPI 1720005283 · NPPES record last updated Jul 10, 2012
Key facts
- NPI
- 1720005283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4413 (MA)
- Practice address
- 73 Russell Rd
Huntington, MA 01050-9777 - Phone
- (413) 667-3009
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- 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 Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Hilltown Community Health Centers Inc |
Federally qualified health center | Corporate Officer | Jan 1, 2024 |
| Hilltown Community Health Centers Inc |
Federally qualified health center | Corporate Officer | Nov 1, 2023 |
| Hilltown Community Health Centers Inc |
Federally qualified health center | Corporate Officer | Nov 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040909000403 | MA | Practitioner - Optometry | 0840196010 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4413 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilltown Community Health Centers, Inc. | Current |
Accepting new patients | |
| Hilltown Community Health Centers, Inc. | Current |
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
- mpurdy20577@direct.ctc.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4413 | MA | Yes |
Addresses
Primary practice location
73 Russell Rd
Huntington, MA 01050-9777
Mailing address
73 Russell Rd
Huntington, MA 01050-9777
Phone (413) 667-3009
Other providers in Huntington, MA
- Jessica Marie Millett
- Deanna Nappi
- Carol L Owen
- Courtney Preston
- Angela Mary Pucino
- Safe at Home
- Charles Michael Simmons
- Josefina Amalia Speckert
- Deborah Ann Wyand
- Ruth Wyshogrod
All providers in Huntington, MA · Optometrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.