Active NPI
Michelle Anne Gambini, O.D.
- Optometrist
- Marlborough, MA
National Provider Identifier
1841507050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4808
- Practice address
- 103 Main St
Marlborough, MA 01752-3803 - Phone
- (508) 481-4900
- NPI assigned
- Sep 9, 2010
- Last updated
- Sep 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4808 | MA | Primary |
Addresses
Primary practice location
103 Main St
Marlborough, MA 01752-3803
Mailing address
103 Main St
Marlborough, MA 01752-3803
Phone (508) 481-4900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Main St
Marlborough, MA 01752-3803
Phone (508) 481-4900
15 Central St
Andover, MA 01810-3718
Phone (978) 475-5252
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4808 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Associates | Optometrist | Current | Accepting new patients |
Locations
103 Main St
Marlborough, MA 01752
Phone (508) 481-4900
Organizations & group practices 2
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
- Andover, MA
- NPI 1952035040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1841507050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 MAIN ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523803",
"telephone_number": "508-481-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MAIN ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523803",
"telephone_number": "508-481-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBINI",
"first_name": "MICHELLE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.