Active NPI
Mark A. Traveis, O.D.
- Optometrist
- Burlington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3790
- Practice address
- 385 Cambridge St
Burlington, MA 01803-1944 - Phone
- (781) 272-9365
- Fax
- (781) 272-0366
- NPI assigned
- Feb 10, 2006
- Last updated
- Jul 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3790 | MA | Primary |
Addresses
Primary practice location
385 Cambridge St
Burlington, MA 01803-1944
Mailing address
385 Cambridge St
Burlington, MA 01803-1944
Phone (781) 272-9365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0369748 | Medicaid | MA |
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, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Central St
Suite 2
Georgetown, MA 01833-2070
Phone (978) 352-5966
385 Cambridge St
Burlington, MA 01803-1944
Phone (781) 272-9365
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3790 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burlington Vision Associates, Inc. | Optometrist | Current | Accepting new patients |
| Georgetown Eye Associates Inc | Optometrist | Current | Accepting new patients |
| Burlington Vision Associates Inc | Optometrist | Current | Accepting new patients |
Locations
385 Cambridge St
Burlington, MA 01803
Phone (781) 272-9365
1 E Main St
Georgetown, MA 01833
Phone (978) 352-6135
2 Central St
Ste 2
Georgetown, MA 01833
Phone (978) 352-5966
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
- Georgetown, MA
- NPI 1841529674
-
- Optometrist
- Burlington, MA
- NPI 1962414714
-
dba Georgetown Eye Associates
- Optometrist
- Georgetown, MA
- NPI 1093930935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1871566794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 CAMBRIDGE ST",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018031944",
"telephone_number": "781-272-9365",
"fax_number": "781-272-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 CAMBRIDGE ST",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018031944",
"telephone_number": "781-272-9365",
"fax_number": "781-272-0366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVEIS",
"first_name": "MARK",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0369748",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.