NPIMap

Organization Active NPI

Bass River Optical, Inc.

Doing business as Bass River Optometrics

  • Optometrist
  • Orleans, MA
National Provider Identifier
1922155258
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BASS RIVER OPTICAL, INC.
Doing business as
Bass River Optometrics
Practice address
173 Cranberry Highway
Orleans, MA 02653-3206
Phone
(508) 240-0898
Fax
(508) 240-7122
NPI assigned
Jan 5, 2007
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Ms. Paige Bauer BarrettNPI 1063653608
Title
Owner
Phone
(508) 240-0898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

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 1

  • Bass River Optometrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060213000622 MA Part B Supplier - Clinic/Group Practice 1658386677 Receives reassigned benefits from 7 practitioners
Practice locations: Orleans, MA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1922155258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 CRANBERRY HIGHWAY",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026533206",
            "telephone_number": "508-240-0898",
            "fax_number": "508-240-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 CRANBERRY HIGHWAY",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026533206",
            "telephone_number": "508-240-0898",
            "fax_number": "508-240-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS RIVER OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "BAUER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-240-0898",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bass River Optometrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bass River Optometrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orleans, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.