Public Spectacle Opticians

Primary specialty

OpticianTaxonomy code 156FX1800X

License

2044 Issued in MA

Legal business name

PUBLIC SPECTACLE OPTICIANS

Practice address

53 Court Street
Plymouth, MA 02360-3822

Phone

(508) 746-8880

Fax

(508) 746-5752

NPI assigned

Jan 11, 2008

Last updated

Jul 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Dority Macleod, OPTICIANNPI 1245368802

Title

Optician/Owner

Phone

(508) 746-8880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Schaff-MacLeod Opticians Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Dority Macleod

  • Optician
  • Plymouth, MA
  • NPI 1245368802
  NPD Authorized official

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1801072681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 COURT STREET",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603822",
            "telephone_number": "508-746-8880",
            "fax_number": "508-746-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 COURT STREET",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603822",
            "telephone_number": "508-746-8880",
            "fax_number": "508-746-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC SPECTACLE OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "MACLEOD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "DORITY",
        "authorized_official_title_or_position": "OPTICIAN/OWNER",
        "authorized_official_telephone_number": "508-746-8880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "2044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523341",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schaff-MacLeod Opticians",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optician in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Optician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.