AIMEE KOREN GRAY PICKETT (NPI# 1780707901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780707901 |
| Entity Type | Individual |
| Full Name | AIMEE KOREN GRAY PICKETT |
| Other Name | AIMEE KOREN GRAY |
| Credential | OD |
| Practice Address |
40 Industrial Park Rd Plymouth MA 02360-4884 |
| Practice Telephone | 5087468600 |
| Practice Fax Number | 5087470824 |
| Mailing Telephone | 5087468600 |
| Mailing Fax Number | 5087470824 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4197 | MA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 4901004182 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EYE MED | 110955 | 01 | |
| MA | MEDICARE, NHIC | W1736901 | 01 |
| MA | 110014827A | 05 | |
| MA | CIGNA | 7368965 | 01 |
| BCBS | 900E06513 | 01 | |
| MA | HARVARD PILGRIM | AA227707 | 01 |
| Street Address |
40 INDUSTRIAL PARK RD |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-4884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801898747 | Linda A Parrillo | Nurse Anesthetist, Certified Registered | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2005-08-11 |
| 1255722906 | Post, Oconnor & Kadrmas Eye Centers Dba Kadrmas Eye Care New England | Ophthalmology | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2015-02-16 |
| 1144651191 | Post Oconnor Kadrmas Eye Center | Technician/Technologist | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2013-12-02 |
| 1306012950 | Shazia Saman Ahmed | Ophthalmology | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2008-05-05 |
| 1194844506 | Commonwealth of Massachusetts-dmh | Case Management | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2007-03-28 |
| 1326181595 | Robert C. Anzola | Social Worker | 40 Industrial Park Rd, D.m.h., Plymouth, MA 02360-4884 | 2007-02-15 |
| 1518025683 | Charles L Kelly | Social Worker | 40 Industrial Park Rd, Department of Mental Health, Plymouth, MA 02360-4884 | 2006-12-04 |
| 1447325857 | Post Oconnor & Kadrmas Eye Centers P C | Ophthalmology | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2006-11-21 |
| 1518907716 | Paul Mcelroy | Nurse Anesthetist, Certified Registered | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2006-06-07 |
| 1013970292 | Elizabeth Wittenstein | Nurse Anesthetist, Certified Registered | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2006-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669998969 | Ryan Christopher Racette | Optometrist | 212 S Meadow Rd Unit 5c, Plymouth, MA 02360-5450 | 2017-08-17 |
| 1013442094 | Robert Ray Baltierra | Optometrist | 44429 Ann Arbor Rd W, Plymouth, MI 48170-3907 | 2017-04-27 |
| 1568779643 | Hooligan Adventures | Optometrist | 3185 Fernbrook Ln N, Plymouth, MN 55447-5320 | 2010-09-09 |
| 1235461708 | Full Sail Partners, LLC | Optometrist | 215 N Michigan St, Plymouth, IN 46563-2134 | 2010-02-08 |
| 1982895439 | Tate Herman | Optometrist | 16875 County Road 24, Ste.301, Plymouth, MN 55447-1290 | 2007-08-08 |
| 1164637591 | Francis J Aprea Od,pc | Optometrist | 22 Chilton St, Plymouth, MA 02360-3804 | 2007-05-11 |
| 1801921408 | Dennis M Picard | Optometrist | 670 S Main St, Plymouth, MI 48170-1711 | 2007-02-22 |
| 1073654802 | Glenna Anne Waitt | Optometrist | Bjs Optical, Glenna Waitt Od, Plymouth, MA 02360 | 2007-02-12 |
| 1427198126 | Glenn Young | Optometrist | 550 Forest Ave Ste 12, Plymouth, MI 48170-1769 | 2007-02-08 |
| 1902943822 | Plymouth Vision Center, Inc. | Optometrist | 16725 Cty Rd 24, Plymouth, MN 55447 | 2007-01-31 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.