Individual provider Active NPI

Victoria Baram

  • VA Clinic/Center
  • Brockton, MA
National Provider Identifier
1811733835
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Practice address
940 Belmont St
Brockton, MA 02301-5596
Phone
(508) 583-4500
NPI assigned
Jul 9, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X NU Primary

Addresses

Primary practice location

940 Belmont St
Brockton, MA 02301-5596

Mailing address

200 Cove Way Unit 310
Quincy, MA 02169-5860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241112001344 MA Practitioner - Optometry 5496289548 Reassigns benefits to 1 organization
I20250715000703 NY Practitioner - Optometry 5496289548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Massachusetts P C Current Accepting new patients
Harmony Health Care Long Island CurrentSince Jul 10, 2025 Accepting new patients
Harmony Health Care Long Island Current Accepting new patients
Myeyedr Optometry of Massachusetts P C CurrentSince Nov 1, 2024 Accepting new patients
Harmony Health Care Long Island CurrentSince Jul 10, 2025 Accepting new patients
Myeyedr Optometry of Massachusetts P C CurrentSince Nov 1, 2024 Accepting new patients
Elmont Community Health Center Past Accepting new patients

Locations

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

101 S Bergen Pl
Freeport, NY 11520
Phone (516) 623-3600

400 Oak St
Ste 104
Garden City, NY 11530
Phone (516) 485-5975

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

619 Fulton Ave
Hempstead, NY 11550
Phone (516) 571-1300

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1811733835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COVE WAY UNIT 310",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695860"
        },
        {
            "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": "BARAM",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.