NPIMap

Organization Active NPI

Belchertown Eye Care

  • Optician
  • Belchertown, MA
National Provider Identifier
1992980478
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
MA4856 Issued in MA
Legal business name
BELCHERTOWN EYE CARE
Practice address
142 N Main St
Belchertown, MA 01007-9433
Phone
(413) 323-1196
Fax
(413) 323-1186
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Ms. Charissa C. Brown, R.D.O.NPI 1831218387
Title
President/Master Optician
Phone
(413) 323-1196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X MA4856 MA Primary
Eyewear Supplier 332H00000X MA4856 MA

Addresses

Primary practice location

142 N Main St
Belchertown, MA 01007-9433

Mailing address

PO Box 42
Belchertown, MA 01007-0042
Phone (413) 323-1196

Other identifiers 2

IdentifierTypeStateIssuer
MA4856OtherMAEYEMED
0338061MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1992980478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010070042",
            "telephone_number": "413-323-1196",
            "fax_number": "413-323-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 N MAIN ST",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079433",
            "telephone_number": "413-323-1196",
            "fax_number": "413-323-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELCHERTOWN EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHARISSA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/MASTER OPTICIAN",
        "authorized_official_telephone_number": "413-323-1196",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "MA4856",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "MA4856",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MA4856",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0338061",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belchertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.