Active NPI
Melissa A Guertin, RDO
- Optician
- Lancaster, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 6728
- Practice address
- 479 Old Union Tpke
Lancaster, MA 01523-3029 - Phone
- (978) 537-3900
- Fax
- (978) 537-6030
- NPI assigned
- Sep 5, 2019
- Last updated
- Jan 13, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 6728 | MA | Primary |
Addresses
Primary practice location
479 Old Union Tpke
Lancaster, MA 01523-3029
Mailing address
479 Old Union Tpke
Lancaster, MA 01523-3029
Phone (978) 728-5445
Other practice location 1
100 Powdermill Rd
Acton, MA 01720-5932
Phone (978) 897-7212
Other practice location 2
865 Merriam Ave Ste 119
Leominster, MA 01453-1230
Phone (978) 537-6045
Other practice location 3
255 Park Ave Ste 606
Worcester, MA 01609-1930
Phone (508) 753-1032
Other practice location 4
74 Main St
Gardner, MA 01440-2634
Phone (978) 632-3930
Other practice location 5
413 Main St
Athol, MA 01331-1842
Phone (978) 249-4209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6728 | MA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D'Ambrosio Eye Care, Inc. | Past | Accepting new patients | |
| D'Ambrosio Eye Care, Inc. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Worcester, MA
- NPI 1467968149
-
- Ophthalmology Physician
- Leominster, MA
- NPI 1952750481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1932758729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "479 OLD UNION TPKE",
"city": "LANCASTER",
"state": "MA",
"postal_code": "015233029",
"telephone_number": "978-728-5445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "479 OLD UNION TPKE",
"city": "LANCASTER",
"state": "MA",
"postal_code": "015233029",
"telephone_number": "978-537-3900",
"fax_number": "978-537-6030"
}
],
"practiceLocations": [
{
"address_1": "100 Powdermill Rd",
"address_purpose": "LOCATION",
"city": "Acton",
"state": "MA",
"postal_code": "017205932",
"country_code": "US",
"telephone_number": "978-897-7212",
"fax_number": "978-461-0345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "865 Merriam Ave Ste 119",
"address_purpose": "LOCATION",
"city": "Leominster",
"state": "MA",
"postal_code": "014531230",
"country_code": "US",
"telephone_number": "978-537-6045",
"fax_number": "978-534-9845",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "255 Park Ave Ste 606",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016091930",
"country_code": "US",
"telephone_number": "508-753-1032",
"fax_number": "508-755-5705",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "74 Main St",
"address_purpose": "LOCATION",
"city": "Gardner",
"state": "MA",
"postal_code": "014402634",
"country_code": "US",
"telephone_number": "978-632-3930",
"fax_number": "978-632-3158",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "413 Main St",
"address_purpose": "LOCATION",
"city": "Athol",
"state": "MA",
"postal_code": "013311842",
"country_code": "US",
"telephone_number": "978-249-4209",
"fax_number": "978-249-4102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUERTIN",
"first_name": "MELISSA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "RDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "6728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.