Individual provider Active NPI

Cheri Mei Li Praseuth, O.D.

  • Optometrist
  • Northborough, MA
National Provider Identifier
1730130964
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4434 Issued in MA
Practice address
6102 Shops Way
Northborough, MA 01532-3301
Phone
(508) 970-5893
Fax
(508) 393-3314
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4434 MA Primary

Addresses

Primary practice location

6102 Shops Way
Northborough, MA 01532-3301

Mailing address

187 America Blvd
Ashland, MA 01721-1869
Phone (508) 970-5893

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
I20050201000750 MA Practitioner - Optometry 8628029261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4434MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates of Ma, P.C. Optometrist PastSince Nov 20, 2007 Accepting new patients

Organizations & group practices 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1730130964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 AMERICA BLVD",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211869",
            "telephone_number": "508-970-5893",
            "fax_number": "508-393-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 SHOPS WAY",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015323301",
            "telephone_number": "508-970-5893",
            "fax_number": "508-393-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASEUTH",
        "first_name": "CHERI",
        "middle_name": "MEI LI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

Verify at the official NPI Registry.