Makenzie Katherine Elliott Massenburg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5031 Issued in MA

Practice address

25 Mechanic Street
Foxboro, MA 02035

Phone

(508) 543-4840

Fax

(508) 698-1013

NPI assigned

Aug 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Makenzie Katherine Elliott Former name

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

Specialty

Optometry

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elliott Eye Doctors and the Optical Shoppe PCGroup PAC ID 9133498496, 5 clinicians

Aeg Massachusetts Professional PCGroup PAC ID 6901282557, 44 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.13 of 100Reported as group

Quality

93.88

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: makenzie.elliott@direct.revolutionehr.com

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.

• Aeg Massachusetts Professional PC

  • Optometrist
  • Andover, MA
  • NPI 1952035040
  Medicare reassignment Care Compare group NPD
• Elliott Eye Doctors and the Optical Shoppe PC

  • Optometrist
  • Foxboro, MA
  • NPI 1609237940
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1972912251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MECHANIC STREET",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "02035",
            "telephone_number": "508-543-4840",
            "fax_number": "508-698-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MECHANIC STREET",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "02035",
            "telephone_number": "508-543-4840",
            "fax_number": "508-698-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT MASSENBURG",
        "first_name": "MAKENZIE",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKENZIE",
            "last_name": "ELLIOTT",
            "middle_name": "KATHERINE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darren Drag, D.M.D.
• Deborah Druar, LICSW
• Allison Jane Dugan, RN
• Mark S Elfman, DC
• Elliott Eye Doctors and the Optical Shoppe PC
• Paul William Elliott, OD
• Carrie Essex, CPNP
• Executive Staffers Inc.
• Maria Fabiano, DPT
• Angela Farmer, PA

• Optometrist in Foxboro, MA
• Providers in Foxboro, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.

Verify at the official NPI Registry.