Active NPI
Andrew Fonte
- Optometrist
- Quincy, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5459
- Practice address
- 104 Quarry St Ste 3
Quincy, MA 02169-4175 - Phone
- (161) 748-1665
- NPI assigned
- May 5, 2021
- Last updated
- Jun 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Optometrist | 152W00000X | 5459 | MA | Primary |
Addresses
Primary practice location
104 Quarry St Ste 3
Quincy, MA 02169-4175
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Harvard St
Suite 707
Brookline, MA 02445-7904
Phone (617) 739-4141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5459 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
Locations
22 University Dr
Amherst, MA 01002
Phone (413) 549-9400
231 Belmont St
Belmont, MA 02478
Phone (617) 484-1414
33 Broad St
Boston, MA 02109
Phone (617) 742-7200
11 Harvard St
Ste 707
Brookline, MA 02445
Phone (617) 739-4141
50 Mall Rd
Ste 114
Burlington, MA 01803
Phone (781) 229-2020
164 Sylvan St
Danvers, MA 01923
Phone (978) 744-4500
1191 Chestnut St
Newton Upper Falls, MA 02464
Phone (617) 243-3937
104 Quarry St
Ste 3
Quincy, MA 02169
Phone (617) 481-6650
27 Memorial Pkwy
Randolph, MA 02368
Phone (617) 986-7400
1 Washington St
Ste 101
Wellesley Hills, MA 02481
Phone (617) 332-1471
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 3
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
- North Andover, MA
- NPI 1922971415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1851975924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 QUARRY ST STE 3",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694175",
"telephone_number": "161-748-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTE",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-05",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.