Individual provider Active NPI

James Ira Merlin, O.D.

  • Optometrist
  • Greenfield, MA
National Provider Identifier
1972601912
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3359 Issued in MA
Practice address
329 Conway St
Greenfield, MA 01301-1521
Phone
(413) 774-6301
Fax
(413) 772-3395
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3359 MA Primary

Addresses

Primary practice location

329 Conway St
Greenfield, MA 01301-1521

Mailing address

329 Conway St
Greenfield, MA 01301-1521
Phone (413) 774-6301

Other practice location 1

31 Hall Dr
Amherst, MA 01002-2751
Phone (413) 256-5501

Other practice location 2

70 Main St
Florence, MA 01062-1466
Phone (413) 586-8400

Other identifiers 2

IdentifierTypeStateIssuer
110016183AMedicaidMA
3359OtherMAMA STATE LICENSE

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
I20051215000319 MA Practitioner - Optometry 7315968583 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3359MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group, P.C. CurrentSince Oct 15, 2014 Accepting new patients
Valley Medical Group, P.C. Optometrist CurrentSince Oct 15, 2014 Accepting new patients
Milford-Franklin Eye Center, LLC Past Accepting new patients

Locations

31 Hall Dr
Amherst, MA 01002
Phone (413) 256-8561

329 Conway St
Greenfield, MA 01301
Phone (413) 774-6301

70 Main St
Northampton, MA 01062
Phone (413) 586-8400

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972601912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 CONWAY ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011521",
            "telephone_number": "413-774-6301",
            "fax_number": "413-772-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 CONWAY ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011521",
            "telephone_number": "413-774-6301",
            "fax_number": "413-772-3395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Hall Dr",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "MA",
            "postal_code": "010022751",
            "country_code": "US",
            "telephone_number": "413-256-5501",
            "fax_number": "413-256-4466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Main St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "MA",
            "postal_code": "010621466",
            "country_code": "US",
            "telephone_number": "413-586-8400",
            "fax_number": "413-585-5463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERLIN",
        "first_name": "JAMES",
        "middle_name": "IRA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110016183A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE LICENSE",
            "identifier": "3359",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.