Individual provider Active NPI

Richard Gerard Jarvis, O.D.

  • Optometrist
  • Gardner, MA
National Provider Identifier
1952354334
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2728 Issued in MA
Practice address
34 Connors St
Gardner, MA 01440-2605
Phone
(978) 632-8783
Fax
(978) 632-4873
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2728 MA Primary

Addresses

Primary practice location

34 Connors St
Gardner, MA 01440-2605

Mailing address

PO Box 1025
34 Connors Street
Gardner, MA 01440-6025
Phone (978) 632-8783

Other identifiers 1

IdentifierTypeStateIssuer
0344478MedicaidMA

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
I20051205000359 MA Practitioner - Optometry 1052331147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
100
Improvement activities
40
Cost
25.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2728MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Planeye, LLC CurrentSince Sep 21, 2021 Accepting new patients
Chair City Pharmacy, LLC Past Accepting new patients
Chair City Pharmacy, LLC PastSince Mar 9, 2020 Accepting new patients

Locations

184 Market Dr
Athol, MA 01331
Phone (978) 248-9834

33 Riddell St
Greenfield, MA 01301
Phone (413) 772-0853

Interoperability endpoints

  • Direct secure messaging: richardjarvis@longwood.imwdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1952354334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "address_2": "34 CONNORS STREET",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014406025",
            "telephone_number": "978-632-8783",
            "fax_number": "978-632-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CONNORS ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402605",
            "telephone_number": "978-632-8783",
            "fax_number": "978-632-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "RICHARD",
        "middle_name": "GERARD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0344478",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.