Active NPI
Kristin A Glavine, O.D.
- Optometrist
- Greenfield, MA
National Provider Identifier
1962632091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4741
- Practice address
- 33 Riddell St
Greenfield, MA 01301-2025 - Phone
- (413) 774-7016
- NPI assigned
- Jul 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4741 | MA | Primary |
Addresses
Primary practice location
33 Riddell St
Greenfield, MA 01301-2025
Mailing address
33 Riddell St
Greenfield, MA 01301-2025
Phone (413) 774-7016
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
354 Main St
Gardner, MA 01440-3055
Phone (978) 632-4920
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.01 of 100
- Quality
- 92.29
- Improvement activities
- 40
- Cost
- 73.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4741 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longwood Eye, LLC | Optometrist | Current | Accepting new patients |
Locations
33 Electric Ave
Ste 2
Fitchburg, MA 01420
354 Main St
Gardner, MA 01440
Phone (412) 774-7016
33 Riddell St
Greenfield, MA 01301
Phone (413) 772-0853
Interoperability endpoints
- kristinglavine@longwood.imwdirect.com
Organizations & group practices 1
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": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1962632091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 RIDDELL ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012025",
"telephone_number": "413-774-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 RIDDELL ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012025",
"telephone_number": "413-774-7016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAVINE",
"first_name": "KRISTIN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-23",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.