Eric David Dostal, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

MA4035 Issued in MA

Practice address

1655 Boston Rd
Unit B16
Springfield, MA 01129-1148

Phone

(413) 543-6878

Fax

(413) 543-9299

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

New England College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eric David Dostal OD LLCGroup PAC ID 9436164068, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eric David Dostal O.D. LLC

  • Optometrist
  • Easthampton, MA
  • NPI 1417091059
  Medicare reassignment Care Compare group NPD Authorized official
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1851310429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 BOSTON RD",
            "address_2": "UNIT B16",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011291148",
            "telephone_number": "413-543-6878",
            "fax_number": "413-543-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BOSTON RD",
            "address_2": "UNIT B16",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011291148",
            "telephone_number": "413-543-6878",
            "fax_number": "413-543-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSTAL",
        "first_name": "ERIC",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA4035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9747940",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunders Dorcely, ARNP
• Jessica Leigh Dorman
• Kaitlyn Elizabeth Dorman, CNM
• Shaylah Dorman, PA
• Nancy Doshi
• Emily Doucette
• Joan Douglas
• Kimberly Douglas
• Sharman Diane Douglas
• John Douglass, D.O.

• Optometrist in Springfield, MA
• Providers in Springfield, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.