Individual provider Active NPI

James Doyle, O.D.

  • Optometrist
  • Methuen, MA
National Provider Identifier
1871669929
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4027 Issued in MA
Practice address
50 Haverhill St
Methuen, MA 01844-4204
Phone
(978) 682-5656
Fax
(978) 685-7959
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4027 MA Primary

Addresses

Primary practice location

50 Haverhill St
Methuen, MA 01844-4204

Mailing address

50 Haverhill St
Methuen, MA 01844-4204
Phone (978) 682-5656

Other identifiers 1

IdentifierTypeStateIssuer
0313378MedicaidMA

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
I20041025000948 MA Practitioner - Optometry 3577523000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lickteig Family Eyecare PCGroup PAC ID 6002096328, 14 clinicians

Practice addresses (Care Compare)

4110 Mystic Valley Pkwy
Medford, MA 02155-6931
Phone (781) 350-7008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lickteig Family Eyecare PC Optometrist CurrentSince Feb 9, 2026 Accepting new patients

Locations

870 Providence Hwy
Dedham, MA 02026
Phone (781) 328-0067

15 Brook St
Ste 3
Medfield, MA 02052

4110 Mystic Valley Pkwy
Medford, MA 02155
Phone (781) 350-7008

1245 Worcester St
Ste 1024
Natick, MA 01760
Phone (508) 653-0223

1245 Worcester St
Natick, MA 01760
Phone (508) 651-9811

Organizations & group practices 1

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871669929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HAVERHILL ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444204",
            "telephone_number": "978-682-5656",
            "fax_number": "978-685-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HAVERHILL ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444204",
            "telephone_number": "978-682-5656",
            "fax_number": "978-685-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0313378",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.