Individual provider Active NPI

Kristine Ulip

  • Optometrist
  • Newton Upper Falls, MA
National Provider Identifier
1952049512
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5571 Issued in MA
Practice address
1191 Chestnut St
Newton Upper Falls, MA 02464-1351
Phone
(617) 243-3937
NPI assigned
May 24, 2022
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 5571 MA Primary

Addresses

Primary practice location

1191 Chestnut St
Newton Upper Falls, MA 02464-1351

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

1215 Broadway
Raynham, MA 02767-1942
Phone (508) 894-0400

Other practice location 2

179 Quincy St
Brockton, MA 02302-2966
Phone (508) 894-0400

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
I20220830001420 MA Practitioner - Optometry 4183008881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians

Practice addresses (Care Compare)

176 Quincy Ave
Brockton, MA 02302-2803
Phone (508) 941-7766

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5571MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Aug 10, 2022 Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Jun 1, 2023 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Aug 10, 2022 Accepting new patients

Locations

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

176 Quincy Ave
Brockton, MA 02302
Phone (508) 587-5000

179 Quincy St
Brockton, MA 02302
Phone (508) 427-7700

179 Quincy St
Ste 3
Brockton, MA 02302
Phone (508) 565-3252

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

1191 Chestnut St
Newton Upper Falls, MA 02464
Phone (617) 243-3937

1215 Broadway
Raynham, MA 02767
Phone (508) 828-3967

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: krisitne.ulip@direct.signature.masshiway.net

Organizations & group practices 4

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": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1952049512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 CHESTNUT ST",
            "city": "NEWTON UPPER FALLS",
            "state": "MA",
            "postal_code": "024641351",
            "telephone_number": "617-243-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Broadway",
            "address_purpose": "LOCATION",
            "city": "Raynham",
            "state": "MA",
            "postal_code": "027671942",
            "country_code": "US",
            "telephone_number": "508-894-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "179 Quincy St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023022966",
            "country_code": "US",
            "telephone_number": "508-894-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULIP",
        "first_name": "KRISTINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Upper Falls, MA

Sources for this page

Verify at the official NPI Registry.