BRIAN TODD MOREIRA-BOUCHARD – Optometrist, NPI 1033973870

BRIAN TODD MOREIRA-BOUCHARD is a healthcare provider. based in Worcester, Massachusetts. specializing in OPTOMETRY. They hold a License No. OPT5723 (MA). The NPI Number for BRIAN TODD MOREIRA-BOUCHARD is 1033973870

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN TODD MOREIRA-BOUCHARD
NPI
1033973870
Phone
(617) 337-7402
Address
64 BEACON ST APT A214
Enumeration Date
12 February 2024
Last Update Date
8 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4135865002
Graduation Year
2024 (2 years ago)
PAC ID
3678005543
Group Practice PAC ID
6901282557
Professional Enrollment ID
I20241016003211
Address ID
MA010603026NO86XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for BRIAN TODD MOREIRA-BOUCHARD

  • 64 BEACON ST APT A214

    WORCESTER, MA 016082278

    Phone: (617) 337-7402

    Type: Mailing

  • 86 MASONIC ST

    NORTHAMPTON, MA 010603026

    Phone: (413) 586-5002

    Fax: (314) 741-4947

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241016003211IOptometryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901282557View full group profile
NameSpecialtyState
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YNH
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YNH
O P T O M E T R YMA
O P T O M E T R YMA

Reviews

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Frequently asked questions

What is the standard ID for BRIAN TODD MOREIRA-BOUCHARD in the U.S.?
In the U.S., BRIAN TODD MOREIRA-BOUCHARD is identified by NPI 1033973870.
Is BRIAN TODD MOREIRA-BOUCHARD currently accepting referrals based on NPI status?
Registry metadata lists BRIAN TODD MOREIRA-BOUCHARD as active.
What type of care does BRIAN TODD MOREIRA-BOUCHARD provide?
BRIAN TODD MOREIRA-BOUCHARD's profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to BRIAN TODD MOREIRA-BOUCHARD?
The directory associates BRIAN TODD MOREIRA-BOUCHARD with Worcester, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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