Active NPI
Timothy M Maselli, O.D.
- Optometrist
- North Adams, MA
National Provider Identifier
1770862906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4873
- Practice address
- 151 Ashland St
North Adams, MA 01247-4522 - Phone
- (413) 662-2020
- Fax
- (413) 662-2908
- NPI assigned
- Aug 5, 2011
- Last updated
- Aug 5, 2011
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4873 | MA | Primary |
Addresses
Primary practice location
151 Ashland St
North Adams, MA 01247-4522
Mailing address
151 Ashland St
North Adams, MA 01247-4522
Phone (413) 662-2020
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, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
151 Ashland St
North Adams, MA 01247-4522
Phone (413) 662-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4873 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanzman, Maselli & Associates, P.C. | Optometrist | Current | Accepting new patients |
Locations
151 Ashland St
North Adams, MA 01247
Phone (413) 662-2020
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- North Adams, MA
- NPI 1417034208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1770862906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 ASHLAND ST",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "012474522",
"telephone_number": "413-662-2020",
"fax_number": "413-662-2908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 ASHLAND ST",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "012474522",
"telephone_number": "413-662-2020",
"fax_number": "413-662-2908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASELLI",
"first_name": "TIMOTHY",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-05",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Adams, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.