Active NPI
Jami B Parsons Malloy, O.D.
- Optometrist
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4909
- Practice address
- 10 Lincoln SQ
Worcester, MA 01608 - Phone
- (508) 373-5830
- Fax
- (508) 519-5512
- NPI assigned
- Mar 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 654 | NV | |
| Optometrist | 152W00000X | 13948 | CA | |
| Optometrist | 152W00000X | 4909 | MA | Primary |
Addresses
Primary practice location
10 Lincoln SQ
Worcester, MA 01608
Mailing address
10 Lincoln SQ
Worcester, MA 01608-1135
Phone (508) 373-5830
Other practice location 1
10 Lincoln Sq
Worcester, MA 01608
Phone (508) 373-5830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110093358A | Medicaid | MA |
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
- Illinois College of Optometry at Chicago, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10 Lincoln SQ
Worcester, MA 01608-1135
Phone (508) 373-5830
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4909 | MA | MD | Optometrist |
| 654 | NV | MD | Optometrist |
| 13948 | CA | MD | Neurorehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward M. Kennedy Community Health Center, Inc | Current | Accepting new patients | |
| McPhs University | Optometrist | Current | Accepting new patients |
| Edward M. Kennedy Community Health Center, Inc | Current | Accepting new patients | |
| Leominster Family Eyecare PLLC | Optometrist | Past | Accepting new patients |
Locations
354 Waverley St
Framingham, MA 01702
Phone (508) 270-5700
10 Lincoln Sq
Worcester, MA 01608
Phone (508) 373-5607
650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318
10 Lincoln Sq
Rm 112G
Worcester, MA 01608
19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122
Organizations & group practices 4
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.
-
dba Eye and Vision Center
- General Practice Physician
- Worcester, MA
- NPI 1871852566
Optometrist
-
- Federally Qualified Health Center (FQHC)
- Worcester, MA
- NPI 1609842152
-
- Federally Qualified Health Center (FQHC)
- Worcester, MA
- NPI 1316324650
-
- Optometrist
- Leominster, MA
- NPI 1891342457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1720302672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LINCOLN SQ",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081135",
"telephone_number": "508-373-5830",
"fax_number": "508-519-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LINCOLN SQ",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-373-5830",
"fax_number": "508-519-5512"
}
],
"practiceLocations": [
{
"address_1": "10 Lincoln Sq",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "01608",
"country_code": "US",
"telephone_number": "508-373-5830",
"fax_number": "508-519-5512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARSONS MALLOY",
"first_name": "JAMI",
"middle_name": "B",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-22",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "654",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13948",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110093358A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
- Michele Lynn Parrow
- Mary P. Parslow, M.A.
- Natalie Parslow
- Parsons Hill Ma SNF LLC (Parsons Hill Rehabilitation & Health Care Center)
- Parsons Hill Nursing and Rehab Center Inc
- Kate Parsons
- Shabnum K Parti, OD
- Partners Homecare Solution Inc
- Partners in Internal Medicine, PC
- Keith Robert Partridge, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.