Active NPI
Karen M Gingras, OD
- Optometrist
- Greenfield, MA
National Provider Identifier
1720309347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4791
- Practice address
- 33 Riddell St
Greenfield, MA 01301-2025 - Phone
- (413) 774-7016
- Fax
- (413) 773-7596
- NPI assigned
- Jun 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4791 | MA | Primary |
Addresses
Primary practice location
33 Riddell St
Greenfield, MA 01301-2025
Mailing address
33 Riddell St
Greenfield, MA 01301-2025
Phone (413) 774-7016
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100823000349 | MA | Practitioner - Optometry | 7214061555 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276732800000",
"number": "1720309347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 RIDDELL ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012025",
"telephone_number": "413-774-7016",
"fax_number": "413-773-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 RIDDELL ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012025",
"telephone_number": "413-774-7016",
"fax_number": "413-773-7596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINGRAS",
"first_name": "KAREN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-17",
"last_updated": "2010-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.