Individual provider Active NPI

John A Dadah, O.D

  • Corneal and Contact Management Optometrist
  • N Dartmouth, MA
National Provider Identifier
1962401703
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3779 Issued in MA
Practice address
500 Faunce Corner Rd
Suite 110
N Dartmouth, MA 02747-1278
Phone
(508) 717-0266
NPI assigned
Jul 14, 2005
Last updated
Jun 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3779 MA Primary

Addresses

Primary practice location

500 Faunce Corner Rd
Suite 110
N Dartmouth, MA 02747-1278

Mailing address

460 Lincoln St
Worcester, MA 01605-1918

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
I20040719001510 MA Practitioner - Optometry 5698754976 Reassigns benefits to 2 organizations
Practice locations: Worcester, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1993
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3779MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Connections, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Community Health Connections, Inc. Current Accepting new patients
Advanced Eye Centers Inc Corneal and Contact Management CurrentSince Mar 22, 2004 Accepting new patients
Community Health Connections, Inc. CurrentSince Nov 1, 2020 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

  • Direct secure messaging: john.dadah.p1@direct.chcfhc.nextgenshare.com

Organizations & group practices 6

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1962401703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAUNCE CORNER RD",
            "address_2": "SUITE 110",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471278",
            "telephone_number": "508-717-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADAH",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "3779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.