NPIMap

Individual provider Active NPI

Nicole Hauptman Siegel, M.D.

  • Ophthalmology Physician
  • Taunton, MA
National Provider Identifier
1780880385
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
246724 Issued in MA
Practice address
2005 Bay St Ste 206
Taunton, MA 02780-1085
Phone
(508) 823-7473
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 246724 MA
Ophthalmology Physician 207W00000X 246724 MA Primary

Addresses

Primary practice location

2005 Bay St Ste 206
Taunton, MA 02780-1085

Mailing address

2005 Bay St Ste 206
Taunton, MA 02780-1085
Phone (508) 823-7473

Other names 1

  • Dr. Nicole Esther Hauptman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000132 MA Practitioner - Ophthalmology 6608044821 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Lexington Eye Associates, IncGroup PAC ID 5698748986, 33 clinicians
Lexington Eye Associates - BidGroup PAC ID 8820315682, 33 clinicians
Boston University Eye Associates, Inc.Group PAC ID 4789571225, shared by 3 NPIs, 28 clinicians

Practice addresses (Care Compare)

1040 Massachusetts Ave
Arlington, MA 02476-4315
Phone (781) 648-1620

21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 862-1620

850 Harrison Ave
Boston, MA 02118-4001
Phone (617) 414-4020

980 Washington St
Suite 210
Dedham, MA 02026-6731
Phone (781) 876-2020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
246724MAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Eye Associates, Inc. Ophthalmology CurrentSince Jul 1, 2011 Accepting new patients
Lexington Eye Associates, Inc. Ophthalmology CurrentSince Feb 1, 2023 Accepting new patients
Lexington Eye Associates, Inc Ophthalmology CurrentSince Feb 1, 2023 Accepting new patients
Lexington Eye Associates - Bid Ophthalmology CurrentSince Feb 1, 2023 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Boston University Eye Associates, Inc. CurrentSince Jul 1, 2011 Accepting new patients
Boston University Eye Associates, Inc. Ophthalmology CurrentSince Jul 1, 2011 Accepting new patients

Locations

1040 Massachusetts Ave
Arlington, MA 02476
Phone (781) 648-1620

850 Harrison Ave
#2
Boston, MA 02118
Phone (617) 414-4020

850 Harrison Ave
#3
Boston, MA 02118
Phone (617) 414-4020

22 Christy Dr
Ste 1
Brockton, MA 02301
Phone (508) 588-3060

22 Christy Dr
Brockton, MA 02301
Phone (508) 580-4611

980 Washington St
Ste 120
Dedham, MA 02026
Phone (781) 251-2222

21 Worthen Rd
Lexington, MA 02421
Phone (617) 862-1620

511 W Grove St
Middleboro, MA 02346
Phone (508) 923-3427

2005 Bay St
Ste 206
Taunton, MA 02780
Phone (508) 822-2266

Interoperability endpoints

  • Direct secure messaging: nsiegel12084@direct.bmc.masshiway.net

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1780880385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BAY ST STE 206",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027801085",
            "telephone_number": "508-823-7473",
            "fax_number": "508-824-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BAY ST STE 206",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027801085",
            "telephone_number": "508-823-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "NICOLE",
        "middle_name": "HAUPTMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MA",
            "license": "246724",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "246724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HAUPTMAN",
            "middle_name": "ESTHER",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.