John A Dadah, O.D
Individual provider Active NPI Corneal and Contact Management Optometrist · N Dartmouth, MA
NPI 1962401703 · NPPES record last updated Jun 3, 2011
Key facts
- NPI
- 1962401703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Corneal and Contact Management Optometrist 152WC0802X
- License
- 3779 (MA)
- Practice address
- 500 Faunce Corner Rd
Suite 110
N Dartmouth, MA 02747-1278 - Phone
- (508) 717-0266
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Community Health Connections, Inc
Practice addresses (Care Compare)
326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040719001510 | MA | Practitioner - Optometry | 5698754976 |
Reassigns benefits to 2 organizations Practice locations: Worcester, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3779 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Connections, Inc. | Current |
Accepting new patients | |
| Community Health Connections, Inc. | Current |
Accepting new patients | |
| Advanced Eye Centers Inc | Corneal and Contact Management | Current |
Accepting new patients |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Magay&Barron Eye Center | Past | Accepting new patients | |
| Peter J Kazanovicz | Past | Accepting new patients |
Locations
326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270
175 Connors St
Gardner, MA 01440
Phone (978) 410-6100
500 Faunce Corner Rd
Ste 110
North Dartmouth, MA 02747
Phone (508) 717-0270
Interoperability endpoints
- john.dadah.p1@direct.chcfhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 3779 | MA | Yes |
Addresses
Primary practice location
500 Faunce Corner Rd
Suite 110
N Dartmouth, MA 02747-1278
Mailing address
460 Lincoln St
Worcester, MA 01605-1918
Other providers in N Dartmouth, MA
- Lissette Chao
- Sarah E Conklin
- Amanda Lee Connolly
- Scott M Corin
- David Da Ponte
- Dartmouth Manor Home Inc
- David E. Adelberg MD Inc.
- Sheila Mary Dorgan
- Babak Eliassi-Rad
- Eugene P Antonell
All providers in N Dartmouth, MA · Corneal and Contact Management Optometrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.