Active NPI
Wendy L Newman-Evans, O.D.
- Optometrist
- Canton, MA
National Provider Identifier
1881692598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3263
- Practice address
- 1 Edward St
Canton, MA 02021-2303 - Phone
- (781) 828-3533
- Fax
- (782) 828-2471
- NPI assigned
- Jul 7, 2005
- Last updated
- Apr 7, 2016
- Sex
- Female
- 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 | 3263 | MA | Primary |
Addresses
Primary practice location
1 Edward St
Canton, MA 02021-2303
Mailing address
1 Chase Dr
Sharon, MA 02067-2904
Phone (617) 557-8497
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152159 | Other | HARVARD/PILGRIM | |
| 0006356 | Other | NEIGHBORHOOD HEALTH PLAN | |
| W15895 | Other | BLUE SHIELD-INDEMNITY | |
| 0354104 | Other | MASS HEALTH (DIV OF MED) | |
| 152159 | Other | HARVARD PILGRIM PPO | |
| 755245 | Other | TUFTS | |
| 9455613 | Other | CIGNA HEALTH CARE | |
| 755245 | Other | TUFTS COMMONWEALTH PPO | |
| 27611 | Other | CHILDREN'S MEDICAL SEC. | |
| 9455613 | Other | HEALTHSOURCE MASSACHUSETT | |
| 9919 | Other | DAVIS VISION (UNICARE) | |
| 755245 | Other | TUFTS SECURE HORIZONS | |
| 755245 | Other | TUFTS TOTAL HEALTH PLAN | |
| MH1462 | Other | FIRST SENIORITY | |
| 152159 | Other | HARVARD PILGRIM POS | |
| 2200482 | Other | UNITED HEALTHCARE HMO PPO | |
| 755245 | Other | TUFTS BENEFIT ADMIN. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3263 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Optometry, PA | Current | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| Premier Family Eyecare PC | Optometrist | Past | Accepting new patients |
| Atrius Health, Inc. | Past | Accepting new patients |
Locations
706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318
Organizations & group practices 4
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.
-
- Corneal and Contact Management Optometrist
- Tampa, FL
- NPI 1083859409
-
dba Harvard Vanguard Medical Associates
- Internal Medicine Physician
- Boston, MA
- NPI 1740238526
-
- Optometrist
- Canton, MA
- NPI 1497902258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1881692598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHASE DR",
"city": "SHARON",
"state": "MA",
"postal_code": "020672904",
"telephone_number": "617-557-8497",
"fax_number": "253-663-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EDWARD ST",
"city": "CANTON",
"state": "MA",
"postal_code": "020212303",
"telephone_number": "781-828-3533",
"fax_number": "782-828-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN-EVANS",
"first_name": "WENDY",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD/PILGRIM",
"identifier": "152159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0006356",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD-INDEMNITY",
"identifier": "W15895",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH (DIV OF MED)",
"identifier": "0354104",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM PPO",
"identifier": "152159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "755245",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE",
"identifier": "9455613",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS COMMONWEALTH PPO",
"identifier": "755245",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDREN'S MEDICAL SEC.",
"identifier": "27611",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE MASSACHUSETT",
"identifier": "9455613",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION (UNICARE)",
"identifier": "9919",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS SECURE HORIZONS",
"identifier": "755245",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS TOTAL HEALTH PLAN",
"identifier": "755245",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST SENIORITY",
"identifier": "MH1462",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM POS",
"identifier": "152159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE HMO PPO",
"identifier": "2200482",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS BENEFIT ADMIN.",
"identifier": "755245",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.