Individual provider Active NPI

Gail Susan Marchetto, O.D.

  • Optometrist
  • Weymouth, MA
National Provider Identifier
1841302957
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4225 Issued in MA
Practice address
1132 Main St
Weymouth, MA 02190-1511
Phone
(781) 878-2300
Fax
(781) 878-2382
NPI assigned
Aug 31, 2006
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4225 MA Primary

Addresses

Primary practice location

1132 Main St
Weymouth, MA 02190-1511

Mailing address

1132 Main St
Weymouth, MA 02190-1511
Phone (781) 878-2300

Other identifiers 1

IdentifierTypeStateIssuer
0335436MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000247 MA Practitioner - Optometry 7517981558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4225MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Zachary Jost II, PC Optometrist CurrentSince Jun 9, 2024 Accepting new patients
Zachary Jost OD Inc PC Optometrist CurrentSince Aug 22, 2022 Accepting new patients
Leslie K Carey OD LLC Optometrist Past Accepting new patients

Locations

31 Saint James Ave
Ste 135
Boston, MA 02116
Phone (617) 426-6277

1132 Main St
Weymouth, MA 02190
Phone (781) 878-2300

Organizations & group practices 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1841302957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 MAIN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901511",
            "telephone_number": "781-878-2300",
            "fax_number": "781-878-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 MAIN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901511",
            "telephone_number": "781-878-2300",
            "fax_number": "781-878-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHETTO",
        "first_name": "GAIL",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0335436",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.