Individual provider Active NPI

Germaine Oliver, O.D.

  • Optometrist
  • Palmer, MA
National Provider Identifier
1861473290
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
626 Issued in MT
Practice address
1448 N Main St
Palmer, MA 01069-1269
Phone
(413) 283-2946
Fax
(413) 283-6361
NPI assigned
Nov 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 626 MT Primary

Addresses

Primary practice location

1448 N Main St
Palmer, MA 01069-1269

Mailing address

15 Woodhill Rd
Monson, MA 01057-9743
Phone (315) 681-8227

Other names 1

  • Germaine Kolbly Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725003180 MA Practitioner - Optometry 6002256781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1448 N Main St
Palmer, MA 01069-1269
Phone (413) 283-2946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
626MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Health Technologies, LLC CurrentSince Jul 1, 2024 Accepting new patients
Right Choice Health Group LLC Past Accepting new patients

Locations

1448 N Main St
Palmer, MA 01069
Phone (413) 283-2946

1448 N Main St
#L
Palmer, MA 01069

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": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1861473290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WOODHILL RD",
            "city": "MONSON",
            "state": "MA",
            "postal_code": "010579743",
            "telephone_number": "315-681-8227",
            "fax_number": "315-772-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 N MAIN ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691269",
            "telephone_number": "413-283-2946",
            "fax_number": "413-283-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "GERMAINE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERMAINE",
            "last_name": "KOLBLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palmer, MA

Sources for this page

Verify at the official NPI Registry.