Individual provider Active NPI

Margaret Mary Johnson, O.D.

  • Optometrist
  • Hudson, MA
National Provider Identifier
1902052327
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4688 Issued in MA
Practice address
10 Technology Dr
Hudson, MA 01749-2791
Phone
(508) 485-6366
Fax
(978) 568-0330
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4688 MA Primary
Optometrist 152W00000X ODTG00530 RI

Addresses

Primary practice location

10 Technology Dr
Hudson, MA 01749-2791

Mailing address

285 Rumonoski Dr
Northbridge, MA 01534-1350
Phone (508) 341-0873

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
I20090106000239 MA Practitioner - Optometry 4284797028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass Optometric Associates, PLLCGroup PAC ID 0648362442, 50 clinicians

Practice addresses (Care Compare)

230 Franklin Village Dr
Franklin Village Plaza
Franklin, MA 02038-4005
Phone (508) 528-3911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4688MAMDMental Health Counselor
ODTG00530RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Mar 19, 2019 Accepting new patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Mar 19, 2019 Accepting new patients

Locations

700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481

230 Franklin Village Dr
Franklin, MA 02038
Phone (508) 429-6916

Interoperability endpoints

  • Direct secure messaging: 102185@visionworks.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1902052327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 RUMONOSKI DR",
            "city": "NORTHBRIDGE",
            "state": "MA",
            "postal_code": "015341350",
            "telephone_number": "508-341-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TECHNOLOGY DR",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492791",
            "telephone_number": "508-485-6366",
            "fax_number": "978-568-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARGARET MARY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4688",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, MA

Sources for this page

Verify at the official NPI Registry.