Individual provider Active NPI

Yen M. Pantano, O.D.

  • Optometrist
  • Natick, MA
National Provider Identifier
1881766038
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4269 Issued in MA
Practice address
81 Speen St
Natick, MA 01760-4168
Phone
(508) 820-8844
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4269 MA Primary

Addresses

Primary practice location

81 Speen St
Natick, MA 01760-4168

Mailing address

40 Rockland St
Natick, MA 01760-5854
Phone (617) 270-3256

Other practice location 1

1 E Main St
Westborough, MA 01581-1408
Phone (508) 366-4500

Other identifiers 1

IdentifierTypeStateIssuer
4269OtherMAMA LICENSE

Other names 1

  • Mrs. Yen Tran Professional name

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
I20070609000105 MA Practitioner - Optometry 3375641624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

81 Speen St
FL 1
Natick, MA 01760-4168
Phone (508) 655-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4269MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Sight Eye Consultants LLC PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881766038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ROCKLAND ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017605854",
            "telephone_number": "617-270-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SPEEN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604168",
            "telephone_number": "508-820-8844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E Main St",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015811408",
            "country_code": "US",
            "telephone_number": "508-366-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTANO",
        "first_name": "YEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LICENSE",
            "identifier": "4269",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEN",
            "last_name": "TRAN",
            "prefix": "MRS.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.