Individual provider Active NPI

Nicole Marie Rabideau, O.D.

  • Optometrist
  • Taunton, MA
National Provider Identifier
1720288285
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4709 Issued in MA
Practice address
64 Winthrop St
Taunton, MA 02780-4242
Phone
(508) 823-5536
Fax
(508) 880-3798
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTA00527 RI
Optometrist 152W00000X 4709 MA Primary

Addresses

Primary practice location

64 Winthrop St
Taunton, MA 02780-4242

Mailing address

64 Winthrop St
Taunton, MA 02780-4242
Phone (508) 823-5536

Other identifiers 1

IdentifierTypeStateIssuer
0720429MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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
I20080312000608 RI Practitioner - Optometry 4183709306 Reassigns benefits to 1 organization
I20081126000119 MA Practitioner - Optometry 4183709306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Associates IncGroup PAC ID 0244482883, 26 clinicians

Practice addresses (Care Compare)

51 State Rd
Dartmouth, MA 02747-3319
Phone 77432030404215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Associates of Rhode Island Inc Optometrist CurrentSince Oct 1, 2013 Accepting new patients
Eye Health Associates of Rhode Island Inc CurrentSince Oct 1, 2013 Accepting new patients
Eye Health Associates Inc CurrentSince Dec 1, 2012 Accepting new patients
Eye Health Associates Inc Optometrist CurrentSince Dec 1, 2012 Accepting new patients
Dr. David W. Ferris and Associates Inc Optometrist Past Accepting new patients
Eye Health Associates SPN LLC Past Accepting new patients

Locations

70 Huttleston Ave
Fairhaven, MA 02719
Phone (508) 994-2020

933 Pleasant St
Fall River, MA 02723
Phone (508) 673-2020

51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400

64 Winthrop St
Taunton, MA 02780
Phone (508) 822-2041

73 Valley Rd
Middletown, RI 02842
Phone (401) 289-2170

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1720288285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 WINTHROP ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027804242",
            "telephone_number": "508-823-5536",
            "fax_number": "508-880-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 WINTHROP ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027804242",
            "telephone_number": "508-823-5536",
            "fax_number": "508-880-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIDEAU",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA00527",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0720429",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.