Kendall Loraine Harer Mault, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4800 Issued in MA

Practice address

116R Highland Ave FL 2
Salem, MA 01970-2723

Phone

(978) 745-0654

NPI assigned

Aug 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore Eye Care, IncGroup PAC ID 1153589783, 2 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.

• North Shore Eye Care, Inc

  • Ophthalmology Physician
  • Salem, MA
  • NPI 1972890333
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1851607014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116R HIGHLAND AVE FL 2",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702723",
            "telephone_number": "978-745-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116R HIGHLAND AVE FL 2",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702723",
            "telephone_number": "978-745-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULT",
        "first_name": "KENDALL",
        "middle_name": "LORAINE HARER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mass Bay Dental PC
• Mass General Brigham Medical Group Northern Massachusetts Inc
• Owen Rudolph Mathieu, M.D.
• Adam Matos, DO
• Anthony R Mattia, M.D.
• Lindsay Rebecca Maxwell, M.A.
• Caitlin Jewell Mazzarella, MSW
• Cristina Mazzoni Palumbo, M.D.
• Jennifer Marie McAdoo, LMHC
• David Patrick McAllister

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.