NPIMap

Organization Active NPI

Mark Birrell

  • Optometrist
  • Pittsfield, MA
National Provider Identifier
1750453601
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3653 Issued in MA
Legal business name
MARK BIRRELL
Practice address
555 Hubbard Ave
Pittsfield, MA 01201-3876
Phone
(413) 442-2848
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Mark A Birrell, O.D.NPI 1538348495
Title
Owner
Phone
(413) 572-0003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3653 MA Primary

Addresses

Primary practice location

555 Hubbard Ave
Pittsfield, MA 01201-3876

Mailing address

26 Willow LN
Lenox, MA 01240-2324
Phone (413) 637-4427

Other identifiers 1

IdentifierTypeStateIssuer
0356328MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1750453601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WILLOW LN",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402324",
            "telephone_number": "413-637-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HUBBARD AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013876",
            "telephone_number": "413-442-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK BIRRELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "BIRRELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-572-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356328",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.