DR. MATTHEW J. MODDERNO (NPI# 1649330390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649330390 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW J. MODDERNO |
| Credential | O.D. |
| Practice Address |
138 Nahatan St. Norwood MA 02062 |
| Practice Telephone | 7812551505 |
| Practice Fax Number | 7812551507 |
| Mailing Telephone | 7812551505 |
| Mailing Fax Number | 7812551507 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4353 | MA | Eye and Vision Services Providers |
| Street Address |
138 NAHATAN ST. |
| City | NORWOOD |
| State | MA |
| Zip Code | 02062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647530 | Lauren Taylor Robbins | Licensed Practical Nurse | 21 Centennial Drive Apt. #3, Norwood, MA 02062 | 2020-07-23 |
| 1013566645 | David Ora Bailey | Counselor | 109 Lenox St., Norwood, MA 02062 | 2019-09-06 |
| 1124599154 | Larisa Stein Dmd, PC-family Dentist | Dentist | 661 Washington Street, Suite 211, Norwood, MA 02062 | 2018-12-17 |
| 1861963134 | Noreen Donne O'hear | Social Worker | 33 George Willett Parkway, Cleveland School, Norwood, MA 02062 | 2018-12-16 |
| 1194242719 | Bidmc Pharmacy, Inc. | Pharmacy | 128 Carnegie Row Ste 110, Norwood, MA 02062 | 2017-08-24 |
| 1023534153 | Foscaldo Healthcare LLC | Home Health | 639 Washington Street, Norwood, MA 02062 | 2017-08-21 |
| 1841710845 | Julia Rose Straus | Speech-Language Pathologist | 101 Vanderbilt Avenue, Norwood, MA 02062 | 2017-06-21 |
| 1043754484 | Recovery Solutions LLC | Clinical Medical Laboratory | 151 Edgehill Rd, Norwood, MA 02062 | 2016-12-05 |
| 1780137273 | Gentle Dental Associates, LLC | Clinic/Center | 980 Providence Highway, Norwood, MA 02062 | 2016-08-01 |
| 1720458094 | Jada Evans | Psychologist | 18 Sturtevant Ave, Apt. 1, Norwood, MA 02062 | 2015-09-30 |
| Find all providers in zip 02062 | ||||
| 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 |
|---|---|---|---|---|
| 1851575021 | Kathleen Prophet-harms | Optometrist | 31a Providence Hwy, Lenscrafters, Norwood, MA 02062 | 2007-12-24 |
| 1053435966 | Steven Sharma | Optometrist | 31 Boston Providence Tpke, Lenscrafters Building, Norwood, MA 02062-2623 | 2007-03-17 |
| 1780694281 | Metropolitan Eye Care Specialits, Pa | Optometrist | 522 Faxon Rd, Norwood, MN 55368-0359 | 2006-08-08 |
| 1265487607 | Nabeel Khudairi | Optometrist | 54 Cottage St E, Norwood, MA 02062-3532 | 2006-05-24 |
| 1144829250 | Susan Ross Od Professional Corp | Optometrist | 4600 Smith Rd, Norwood, OH 45212-2793 | 2020-10-20 |
| 1023634847 | Esther Lautz | Optometrist | 4600 Smith Rd, Norwood, OH 45212-2793 | 2020-06-17 |
| 1467847632 | Atrius Health, Inc. | Optometrist | 1177 Providence Highway, Route 1, Norwood, MA 02062 | 2015-04-03 |
| 1578815528 | Modderno Eyecare, P.C. | Optometrist | 138 Nahatan St, Norwood, MA 02062-4252 | 2012-10-15 |
| 1275782088 | Dr. David N Lasse Optometrist Inc | Optometrist | 4600 Smith Rd, Grande Central Station, Norwood, OH 45212-2793 | 2008-09-17 |
| 1518135227 | Marjorie A Cohen Od | Optometrist | 38 Vanderbilt Ave, Norwood, MA 02062-5159 | 2008-02-15 |
| Find all providers in NORWOOD | ||||
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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.