Individual provider Active NPI

Katelyn Neillands

  • Optometrist
  • Lowell, MA
National Provider Identifier
1841991924
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5595 Issued in MA
Practice address
130 Marshall Rd
Lowell, MA 01852-5130
Phone
(978) 671-9125
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 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 5595 MA Primary

Addresses

Primary practice location

130 Marshall Rd
Lowell, MA 01852-5130

Mailing address

250 Merrimack St Apt 584E
Lawrence, MA 01843-2082
Phone (908) 420-5660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231103000098 NY Practitioner - Optometry 7911354519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Vision Optometry PLLCGroup PAC ID 0345417283, 6 clinicians
Metropolitan Vision Optometry Downtown PLLCGroup PAC ID 2062753114, 4 clinicians

Practice addresses (Care Compare)

22 W 13TH St
New York, NY 10011-7902
Phone (212) 807-0019

60 Saint James PL
New York, NY 10038-1209
Phone (212) 227-1268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Vision Optometry Downtown PLLC. Optometrist CurrentSince Dec 15, 2024 Accepting new patients
Metropolitan Vision Optometry PLLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients

Locations

22 W 13th St
New York, NY 10011
Phone (212) 807-0019

60 Saint James Pl
New York, NY 10038
Phone (212) 227-1268

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1841991924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MERRIMACK ST APT 584E",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018432082",
            "telephone_number": "908-420-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MARSHALL RD",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018525130",
            "telephone_number": "978-671-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILLANDS",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.