Active NPI
Thomas J Piecewicz, OD
- Optometrist
- Milford, MA
National Provider Identifier
1730161712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2267
- Practice address
- 115 Cedar St
Milford, MA 01757 - Phone
- (508) 634-8376
- Fax
- (508) 634-9086
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- 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 | 2267 | MA | Primary |
Addresses
Primary practice location
115 Cedar St
Milford, MA 01757
Mailing address
630 Plantation St
Worchester, MA 01605
Phone (508) 634-8376
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61204 | Other | FALLON COMMUNITY HEALTH P | |
| 042472266 | Other | THREE RIVERS | |
| 786729 | Other | MVP HEALTH CARE | |
| 5168604 | Other | CIGNA PAL ID | |
| 5168604001 | Other | CIGNA HEALTH PLAN | |
| AA2363 | Other | HARVARD PILGRIM HEALTHCAR | |
| 0321117 | Other | MEDICAID WELFARE | |
| 0321117 | Medicaid | MA | |
| 167058 | Other | MEDICARE B | |
| 410045461 | Other | RAILROAD MEDICARE | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 042472266 | Other | TRICARE CHAMPUS | |
| 2213114 | Other | FIRST HEALTH | |
| 5608218 | Other | AETNA US HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Past | 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.
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1730161712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"city": "WORCHESTER",
"state": "MA",
"postal_code": "01605",
"telephone_number": "508-634-8376",
"fax_number": "508-634-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CEDAR ST",
"city": "MILFORD",
"state": "MA",
"postal_code": "01757",
"telephone_number": "508-634-8376",
"fax_number": "508-634-9086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIECEWICZ",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH P",
"identifier": "61204",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "786729",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL ID",
"identifier": "5168604",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "5168604001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "AA2363",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WELFARE",
"identifier": "0321117",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0321117",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "167058",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410045461",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2213114",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "5608218",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.