Bass River Optical, Inc.
Organization Active NPI Optometrist · Orleans, MA
NPI 1922155258 · NPPES record last updated Apr 13, 2023
Key facts
- NPI
- 1922155258
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- BASS RIVER OPTICAL, INC.
- Practice address
- 173 Cranberry Highway
Orleans, MA 02653-3206 - Phone
- (508) 240-0898
- Fax
- (508) 240-7122
- NPI assigned
- Jan 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Paige Bauer Barrett
- Title
- Owner
- Phone
- (508) 240-0898
Subparts reporting this organization as parent 1
Practitioners 9
-
Kristin Baragona, OD
-
Debra A. Buduo, O.D.
-
Susan P. Prewandowski, O.D.
-
Lyn A Benton, O.D.
-
Paige Bauer Barrett, R.D.O.
-
Heather Anne Bourdeau, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060213000622 | MA | Part B Supplier - Clinic/Group Practice | 1658386677 |
Receives reassigned benefits from 7 practitioners Practice locations: Orleans, MA |
National Provider Directory
Locations
173 Rt 6A
Orleans, MA 02653
Phone (508) 240-0898
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
173 Cranberry Highway
Orleans, MA 02653-3206
Mailing address
173 Cranberry Highway
Orleans, MA 02653-3206
Phone (508) 240-0898
Other names
- Bass River Optometrics
Other providers in Orleans, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.