Individual provider Active NPI

Breanna Catherine Marques, OD

  • Optometrist
  • Dartmouth, MA
National Provider Identifier
1972120319
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5406 Issued in MA
Practice address
51 State Rd
Dartmouth, MA 02747-3319
Phone
(508) 500-6900
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5406 MA Primary

Addresses

Primary practice location

51 State Rd
Dartmouth, MA 02747-3319

Mailing address

6 Arrow LN
Acushnet, MA 02743-1708
Phone (508) 971-4577

Other practice location 1

933 Pleasant St
Fall River, MA 02723-1000
Phone (508) 673-2020

Other practice location 2

1250 S Washington St Unit 9
North Attleboro, MA 02760-6227
Phone (508) 717-0425

Other practice location 3

119 Emerald Sq
North Attleboro, MA 02760-3640
Phone (508) 717-0425

Other practice location 4

21 Torrey St
Brockton, MA 02301-4849
Phone (508) 717-0425

Other practice location 5

382 State Rd
Dartmouth, MA 02747-4302
Phone (508) 717-0425

Other identifiers 1

IdentifierTypeStateIssuer
110164295AMedicaidMA

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
I20200919000051 MA Practitioner - Optometry 0244658474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Associates IncGroup PAC ID 0244482883, 26 clinicians

Practice addresses (Care Compare)

51 State Rd
Dartmouth, MA 02747-3319
Phone 77432030404215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Associates Inc Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Eye Health Associates Inc CurrentSince Jan 1, 2021 Accepting new patients
John Magalhaes and Associates, Inc. Optometrist CurrentSince Aug 15, 2020 Accepting new patients
Eye Health Associates SPN LLC Past Accepting new patients

Locations

21 Torrey St
Brockton, MA 02301
Phone (508) 580-8901

70 Huttleston Ave
Fairhaven, MA 02719
Phone (508) 994-2020

933 Pleasant St
Fall River, MA 02723
Phone (508) 673-2020

119 Emerald Sq
North Attleboro, MA 02760
Phone (508) 699-0777

1250 S Washington St
Unit 9
North Attleboro, MA 02760
Phone (508) 717-0425

382 State Rd
North Dartmouth, MA 02747
Phone (508) 717-0425

51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400

64 Winthrop St
Taunton, MA 02780
Phone (508) 822-2041

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1972120319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ARROW LN",
            "city": "ACUSHNET",
            "state": "MA",
            "postal_code": "027431708",
            "telephone_number": "508-971-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473319",
            "telephone_number": "508-500-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027231000",
            "country_code": "US",
            "telephone_number": "508-673-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 S Washington St Unit 9",
            "address_purpose": "LOCATION",
            "city": "North Attleboro",
            "state": "MA",
            "postal_code": "027606227",
            "country_code": "US",
            "telephone_number": "508-717-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Emerald Sq",
            "address_purpose": "LOCATION",
            "city": "North Attleboro",
            "state": "MA",
            "postal_code": "027603640",
            "country_code": "US",
            "telephone_number": "508-717-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Torrey St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023014849",
            "country_code": "US",
            "telephone_number": "508-717-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "382 State Rd",
            "address_purpose": "LOCATION",
            "city": "Dartmouth",
            "state": "MA",
            "postal_code": "027474302",
            "country_code": "US",
            "telephone_number": "508-717-0425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUES",
        "first_name": "BREANNA",
        "middle_name": "CATHERINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110164295A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.