Individual provider Active NPI

Elisa Nina Sorrentini, DO

  • Optician
  • Beverly, MA
National Provider Identifier
1861980567
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
6449 Issued in MA
Practice address
40 Enon St
Beverly, MA 01915-1168
Phone
(978) 922-5996
Fax
(978) 922-5997
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 6449 MA Primary

Addresses

Primary practice location

40 Enon St
Beverly, MA 01915-1168

Mailing address

40 Enon St
Beverly, MA 01915-1168
Phone (978) 922-5996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6449MAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1861980567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ENON ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151168",
            "telephone_number": "978-922-5996",
            "fax_number": "978-922-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ENON ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151168",
            "telephone_number": "978-922-5996",
            "fax_number": "978-922-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENTINI",
        "first_name": "ELISA",
        "middle_name": "NINA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "6449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.