Individual provider Active NPI

Marcelline Alane Ciuffreda, O.D.

  • Optometrist
  • Greenfield, MA
National Provider Identifier
1861493769
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5602 Issued in MA
Practice address
489 Bernardston Rd
Greenfield, MA 01301-1238
Phone
(413) 772-2571
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13400T CA
Optometrist 152W00000X 030.0133966 VT
Vision Therapy Optometrist 152WV0400X TUV 006816 NY
Optometrist 152W00000X OPT5602 MA Primary

Addresses

Primary practice location

489 Bernardston Rd
Greenfield, MA 01301-1238

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 2

IdentifierTypeStateIssuer
13400TOtherCACALIFORNIA STATE LICENSE
030.0133966OtherVTVERMONT STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20211108002021 OR Practitioner - Optometry 2062473432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyedeology IncGroup PAC ID 0840557989, 2 clinicians

Practice addresses (Care Compare)

5656 Hood St
Suite 107
West Linn, OR 97068-3279
Phone (503) 723-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13400TCAMDOptometrist
030.0133966VTMDOptometrist
TUV 006816NYMDVision Therapy Optometrist
13400CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyedeology, Inc Optometrist CurrentSince Nov 15, 2024 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
Heights Optometry Optometrist Past Accepting new patients

Locations

5656 Hood St
Ste 107
West Linn, OR 97068
Phone (503) 723-3000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1861493769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 BERNARDSTON RD",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011238",
            "telephone_number": "413-772-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIUFFREDA",
        "first_name": "MARCELLINE",
        "middle_name": "ALANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13400T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0133966",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "TUV 006816",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENSE",
            "identifier": "13400T",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT STATE LICENSE",
            "identifier": "030.0133966",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.