Active NPI
Gerald Patrick Hastings Jr., RDO
- Optician
- Worcester, MA
National Provider Identifier
1770830184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1385
- Practice address
- 10 Lincoln Square
Worcester, MA 01608 - Phone
- (508) 373-5820
- NPI assigned
- Aug 6, 2012
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 1385 | MA | Primary |
Addresses
Primary practice location
10 Lincoln Square
Worcester, MA 01608
Mailing address
10 Lincoln SQ
Worcester, MA 01608-1135
Phone (508) 373-5820
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1385 | MA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McPhs University | Optician | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1770830184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LINCOLN SQ",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081135",
"telephone_number": "508-373-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LINCOLN SQUARE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-373-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS",
"first_name": "GERALD",
"middle_name": "PATRICK",
"name_suffix": "Jr.",
"credential": "RDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-06",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "1385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.