Active NPI
Daniel Arthur Bastian, OD
- Optometrist
- Brockton, MA
National Provider Identifier
1770848384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4921
- Practice address
- 940 Belmont St
Brockton, MA 02301-5596 - Phone
- (508) 583-4500
- NPI assigned
- Jul 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG002619 | PA | |
| Optometrist | 152W00000X | 4921 | MA | Primary |
Addresses
Primary practice location
940 Belmont St
Brockton, MA 02301-5596
Mailing address
12 Revere PL
Medford, MA 02155-3903
Phone (508) 517-0865
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Central Ave
Lynn, MA 01901-1314
269 Union St
Lynn, MA 01901-1314
Phone (959) 216-7305
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4921 | MA | MD | Mental Health Counselor |
| OEG002619 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynn Community Health, Inc. | Current | Accepting new patients | |
| Redstone Eye Associates, LLC | Optometrist | Current | Accepting new patients |
| Bastian Eyecare Professionals | Optometrist | Past | Accepting new patients |
| Aeg Massachusetts Professional PC | Optometrist | Past | Accepting new patients |
| All Eye Care at Davis, Inc | Optometrist | Past | Accepting new patients |
Locations
280 Union St
Ste 202
Lynn, MA 01901
Phone (781) 780-4555
269 Union St
Lynn, MA 01901
Phone (781) 581-9832
75 Main St
Stoneham, MA 02180
Phone (781) 438-2505
Interoperability endpoints
- dbastian150379@direct.ochin.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Lynn, MA
- NPI 1013997691
-
- Optometrist
- Stoneham, MA
- NPI 1982783676
-
- Optometrist
- Medford, MA
- NPI 1508243239
-
- Optometrist
- Andover, MA
- NPI 1952035040
-
- Optometrist
- Medford, MA
- NPI 1700216090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1770848384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 REVERE PL",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553903",
"telephone_number": "508-517-0865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 BELMONT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015596",
"telephone_number": "508-583-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTIAN",
"first_name": "DANIEL",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-10",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002619",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.