Demian John Ochoa, O.D.
Individual provider Active NPI Optometrist · Teaticket, MA
NPI 1992961486 · NPPES record last updated Jun 17, 2010
Key facts
- NPI
- 1992961486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4695 (MA)
- Practice address
- 137 Teaticket Hwy
Inside Wal-Mart Vision Center
Teaticket, MA 02536-5659 - Phone
- (508) 548-2147
- Fax
- (508) 457-6477
- NPI assigned
- Aug 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
137 Teaticket Hwy
Teaticket, MA 02536-5659
Phone (508) 548-2147
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080930000746 | MA | Practitioner - Optometry | 1557438744 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4695 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Demian J Ochoa, OD, PC | Optometrist | Current |
Accepting new patients |
Locations
137 Teaticket Hwy
Teaticket, MA 02536
Phone (508) 457-1185
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4695 | MA | Yes |
Addresses
Primary practice location
137 Teaticket Hwy
Inside Wal-Mart Vision Center
Teaticket, MA 02536-5659
Mailing address
133 Phinneys LN
Centerville, MA 02632-2949
Phone (215) 913-3321
Other providers in Teaticket, MA
- Samantha McGrath
- Richard James McKenna
- Dontae Female McNichol
- Mindful Medical Care P.C.
- Dawn Moran
- Lydia Patterson
- Lori Elizabeth Porter
- Recovering Champions Operating Subsidiary, LLC
- Shaws Supermarkets Inc
- Allyson Simon
All providers in Teaticket, MA · Optometrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.