Active NPI
Colm Quigley, O.D.
- Optometrist
- Saugus, MA
National Provider Identifier
1992862056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4130
- Practice address
- 739 Broadway
Saugus, MA 01906-3207 - Phone
- (781) 231-1097
- Fax
- (781) 231-1099
- NPI assigned
- Jan 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 4130 | MA | Primary |
Addresses
Primary practice location
739 Broadway
Saugus, MA 01906-3207
Mailing address
29 Wright St
Stoneham, MA 02180-2576
Phone (781) 438-1310
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7737155 | Other | MA | AETNA US HEALTH CARE |
| W16441 | Other | MA | BLUE CROSS & BLUE SHIELD |
| 935425 | Other | MA | EYEMED VISION CARE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050419000583 | MA | Practitioner - Optometry | 4688612864 | Practice locations: Saugus, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4130 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992862056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 WRIGHT ST",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021802576",
"telephone_number": "781-438-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 BROADWAY",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019063207",
"telephone_number": "781-231-1097",
"fax_number": "781-231-1099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIGLEY",
"first_name": "COLM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTH CARE",
"identifier": "7737155",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "W16441",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED VISION CARE",
"identifier": "935425",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saugus, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.