PAMELA CARROLL (NPI# 1992248322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992248322 |
Entity Type | Individual |
Full Name | PAMELA CARROLL |
Practice Address |
516 Westgate Dr Brockton MA 02301-1816 |
Practice Telephone | 5085864435 |
Mailing Telephone | 5085864435 |
Enumeration Date | 2016-12-03 |
Last Update Date | 2016-12-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
4938 | MA | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881924850 | Pamela R Carroll | Marriage & Family Therapist | 2141 N Cleveland Ave, Chicago, IL 60614-4508 | 2010-01-13 |
1194119735 | Pamela Carroll | Developmental Therapist | 16 Degrandpre Way, Suite 200, Plattsburgh, NY 12901-6451 | 2015-03-21 |
1235440074 | Pamela Carroll | Nurse Practitioner | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2010-06-26 |
1144482506 | Pamela T Carroll | Obstetrics & Gynecology | 1200 Old York Rd, Department of Ob/gyn, Abington, PA 19001-3720 | 2008-06-26 |
1760594394 | Pamela Elaine Carroll | Social Worker | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2006-08-31 |
Street Address |
516 WESTGATE DR |
City | BROCKTON |
State | MA |
Zip Code | 02301-1816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952423915 | James A Luccio and Associates Inc | Optometrist | 516 Westgate Dr, Brockton, MA 02301-1816 | 2007-04-03 |
1336339407 | P.j.see Inc. | Eyewear Supplier (Equipment, not the service) | 516 Westgate Dr, Brockton, MA 02301-1816 | 2007-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
Find all providers in zip 02301 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407060361 | Timothy M Foote | Technician/Technologist | 727 Belmont Street, Brockton, MA 02301-5666 | 2007-05-10 |
1619473725 | Patricia L Ramanauskas | Technician/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2018-04-05 |
1659543882 | Boucher's Opticians of Brockton, Inc. | Technician/Technologist | 727 Belmont Street, Brockton, MA 02301-5666 | 2008-03-27 |
1972782506 | David N Horner | Technician/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2007-10-31 |
1679639926 | Robert L King | Technician/Technologist | 495 Westgate Dr, Suite 1, Brockton, MA 02301-1833 | 2006-12-29 |
1457432593 | Wal-mart Stores East, Lp | Technician/Technologist | 700 Oak St, Brockton, MA 02301-1105 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609473560 | Irma Montanez | Technician/Technologist | 71 Lyndale St, Springfield, MA 01108-2410 | 2020-10-05 |
1609491331 | David Miller | Technician/Technologist | 10 Merrimack St, Lowell, MA 01852-1722 | 2020-06-09 |
1538718796 | Lauren Downey | Technician/Technologist | 40 Industrial Park Rd # 202, Plymouth, MA 02360-4884 | 2019-09-10 |
1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
1689161846 | Andrew Metz | Technician/Technologist | 188 Park Ave, Worcester, MA 01609-2240 | 2018-04-13 |
1144720301 | See South End Inc | Technician/Technologist | 681 Tremont St Unit 1, Boston, MA 02118-1281 | 2018-02-14 |
1528570702 | Michael Josef Leduc | Technician/Technologist | 73 Home St Apt 1, Fall River, MA 02720-5315 | 2017-10-28 |
1235649955 | Nickolas Linna | Technician/Technologist | 120 East St, Ludlow, MA 01056-3409 | 2017-10-08 |
1750819991 | Eye Center Optical, Inc. | Technician/Technologist | 13 Walnut Street, Winchendon, MA 01475 | 2017-06-01 |
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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.