Individual provider Active NPI

Marisa Palumbo, O.D.

  • Optometrist
  • Norwood, MA
National Provider Identifier
1982869988
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4710 Issued in MA
Practice address
825 Washington St
Norwood, MA 02062-3441
Phone
(781) 769-8880
NPI assigned
Jul 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002109 PA
Optometrist 152W00000X 4710 MA Primary

Addresses

Primary practice location

825 Washington St
Norwood, MA 02062-3441

Mailing address

6 Erin LN
Norfolk, MA 02056-1917
Phone (508) 740-1610

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
I20091209000405 MA Practitioner - Optometry 7012056765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norwood Eye Care Specialists, LLCGroup PAC ID 5496145146, 7 clinicians
Eye Care Specialists PCGroup PAC ID 6002996725, 7 clinicians

Practice addresses (Care Compare)

825 Washington St
Suite 230
Norwood, MA 02062-3488
Phone (781) 769-8880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4710MAMDOptometrist
OEG002109PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Norwood Eye Care Specialists, LLC CurrentSince May 17, 2022 Accepting new patients
Eye Care Specialists PC CurrentSince Jan 30, 2015 Accepting new patients
Eye Care Specialists Past Accepting new patients

Locations

31 Pine St
Ste 201
Norfolk, MA 02056
Phone (508) 623-3880

825 Washington St
Ste 230
Norwood, MA 02062
Phone (781) 769-8880

825 Washington St
Norwood, MA 02062
Phone (781) 551-8600

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": "1216512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1982869988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ERIN LN",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561917",
            "telephone_number": "508-740-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623441",
            "telephone_number": "781-769-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "MARISA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-20",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002109",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.