Individual provider Active NPI

Anna B Georgacopoulos, O.D.

  • Optometrist
  • Haverhill, MA
National Provider Identifier
1992943351
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4393 Issued in MA
Practice address
680 Main St
Haverhill, MA 01830-2644
Phone
(978) 374-4258
Fax
(378) 374-4982
NPI assigned
Jan 23, 2009
Last updated
May 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4393 MA Primary

Addresses

Primary practice location

680 Main St
Haverhill, MA 01830-2644

Mailing address

680 Main St
Haverhill, MA 01830-2644
Phone (978) 374-4258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221220001169 NH Practitioner - Optometry 0446551857 Reassigns benefits to 1 organization
I20241217002709 MA Practitioner - Optometry 0446551857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andover Eye Associates IncGroup PAC ID 4486627866, 11 clinicians

Practice addresses (Care Compare)

138 Haverhill St
Suite 104
Andover, MA 01810-1501
Phone (978) 475-0705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0725NHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group, Inc. CurrentSince Jan 3, 2023 Accepting new patients
Andover Eye Associates, Inc CurrentSince Nov 1, 2024 Accepting new patients
Mass General Brigham Amsurg Inc Past Accepting new patients
Glenn P Kimball Past Accepting new patients
Retina Specialists of Boston, Inc. Past Accepting new patients

Locations

138 Haverhill St
Ste 104
Andover, MA 01810
Phone (508) 475-0705

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-0165

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

Interoperability endpoints

  • Direct secure messaging: ageorgacopoulos@andovereye.intellechartdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1992943351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302644",
            "telephone_number": "978-374-4258",
            "fax_number": "378-374-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302644",
            "telephone_number": "978-374-4258",
            "fax_number": "378-374-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGACOPOULOS",
        "first_name": "ANNA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.