Active NPI
Michael Kochanowski
- Optometrist
- Arlington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- PENDING
- Practice address
- 1328 Massachusetts Ave
Arlington, MA 02476-4111 - Phone
- (781) 488-0094
- NPI assigned
- Mar 4, 2020
- Last updated
- Jun 24, 2020
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Optometrist | 152W00000X | PENDING | MA | Primary |
Addresses
Primary practice location
1328 Massachusetts Ave
Arlington, MA 02476-4111
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jeffrey L Morer OD PC
Practice addresses (Care Compare)
100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone (617) 964-6681
25 Ridgewood Rd
Bedford, NH 03110-6510
Phone (888) 964-6681
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | MA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of New Hampshire, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of New Hampshire, PLLC | Optometrist | Current | Accepting new patients |
| Jeffrey L. Morer, OD, PC | Optometrist | Current | Accepting new patients |
| Jeffrey L. Morer, OD, PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of New Hampshire, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of New Hampshire, PLLC | Optometrist | Past | Accepting new patients |
Locations
22 University Dr
Amherst, MA 01002
Phone (413) 549-9400
1328 Massachusetts Ave
Arlington, MA 02476
Phone (617) 484-1414
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
25 Ridgewood Rd
Bedford, NH 03110
Phone (603) 222-0303
1 Brickyard Sq
Ste 11
Epping, NH 03042
Phone (603) 347-8377
2075 S Willow St
Manchester, NH 03103
Phone (603) 424-0404
9 Triangle Ln
Ste 204
Manchester, NH 03103
Phone (603) 644-6100
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 9
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 Andover, MA
- NPI 1922971415
-
- Optometrist
- Concord, NH
- NPI 1174482194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1780219394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 MASSACHUSETTS AVE",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764111",
"telephone_number": "781-488-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCHANOWSKI",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-04",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.