Active NPI
Elizabeth J.S. Redman, OD
- Optometrist
- Pembroke, MA
National Provider Identifier
1750332839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4541
- Practice address
- 75 Washington St Ste 3
Mass Optometric Associates, P.C.
Pembroke, MA 02359-1887 - Phone
- (781) 826-5117
- Fax
- (781) 826-0954
- NPI assigned
- May 13, 2006
- Last updated
- Jan 29, 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 | 4541 | MA | Primary |
Addresses
Primary practice location
75 Washington St Ste 3
Mass Optometric Associates, P.C.
Pembroke, MA 02359-1887
Mailing address
2921 Erie Blvd E
C/O Empire Vision Center, Inc
Syracuse, NY 13224-1430
Phone (315) 445-7465
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
- New England College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
75 Washington St
Suite 3
Pembroke, MA 02359-1887
Phone (781) 826-5117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4541 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass Optometric Associates, P.C. | Optometrist | Past | Accepting new patients |
| Empire Vision Center, Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Malden, MA
- NPI 1063610194
-
- Optometrist
- Falmouth, MA
- NPI 1669662821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1750332839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 ERIE BLVD E",
"address_2": "C/O EMPIRE VISION CENTER, INC",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241430",
"telephone_number": "315-445-7465",
"fax_number": "315-445-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 WASHINGTON ST STE 3",
"address_2": "MASS OPTOMETRIC ASSOCIATES, P.C.",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "023591887",
"telephone_number": "781-826-5117",
"fax_number": "781-826-0954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMAN",
"first_name": "ELIZABETH",
"middle_name": "J.S.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-13",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.
- 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.