Individual provider Active NPI

Bruce David Chase, OD

  • Optometrist
  • North Reading, MA
National Provider Identifier
1750333530
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2547 Issued in MA
Practice address
133-135 Main St
North Reading, MA 01864-2275
Phone
(978) 664-6211
Fax
(978) 664-3251
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2547 MA Primary

Addresses

Primary practice location

133-135 Main St
North Reading, MA 01864-2275

Mailing address

133-135 Main St
North Reading, MA 01864-2275
Phone (978) 664-6211

Other identifiers 3

IdentifierTypeStateIssuer
152136OtherMAHARVARD
726191OtherMATUFTS
W15183OtherMABCBS

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
I20150514001982 MA Practitioner - Optometry 8022335918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2547MAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Appleton Eye Associates PC Optometrist CurrentSince Feb 5, 2018 Accepting new patients
Appleton Eye Associates P.C. Optometrist CurrentSince Feb 5, 2018 Accepting new patients

Locations

39 Green St
Newburyport, MA 01950
Phone (978) 465-8761

133 Main St
North Reading, MA 01864
Phone (978) 626-1278

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appleton Eye Associates PC 9 clinicians

Practice addresses (Care Compare)

39 Green St
Newburyport, MA 01950-2652
Phone (978) 465-8761

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1750333530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133-135 MAIN ST",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018642275",
            "telephone_number": "978-664-6211",
            "fax_number": "978-664-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133-135 MAIN ST",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018642275",
            "telephone_number": "978-664-6211",
            "fax_number": "978-664-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "BRUCE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "152136",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "726191",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W15183",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Reading, MA

Sources for this page

Verify at the official NPI Registry.