Individual provider Active NPI

Melissa A Guertin, RDO

  • Optician
  • Lancaster, MA
National Provider Identifier
1932758729
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
6728 Issued in MA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6728MAMDOptician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.